Table 2.
Study | n | Disease | Follow-up years | End-point | Treatment | Results (%) | Risks factors |
Behringer et al.(10) | 405 | HL | 3.2 | Amenorrhea | RT | 6.3 | Alkylating agent, age, disease stage, no oral contraception |
ABVD | 3.9 | ||||||
4 COPP/ABVD | 37.5 | ||||||
8 BEACOPP | 22.6 | ||||||
8 BEACOPP escalated | 51.4 | ||||||
Decanter et al.(13) | 30 | HL and NHL | 1 | AMH dosage | ABVD | Normal decreased | |
Others including alkylating agents | |||||||
Hodgson et al.(11) | 36 | HL | 1 | Parenthood | ABVD | Same as controls | |
Brusamolino et al.(14) | 67 | HL | 10 | Amenorrhea and parenthood | ABVD | Fertility preserved | |
Franchi-Rezgui et al.(15) | 84 | HL and NHL | 8 | Parenthood | Many regimens with alkylating agents | 37 preserved fertility | Dose of alkylating, agent and age |
Kiserud et al. (16) | 91 | HL | 10 | Parenthood | Non-alkylating | 55 | Dose of alkylating agent and age |
Alkylating (limited number of cycles) | 21 | ||||||
High-dose chemotherapy and alkylating regimens > 4 cycles | 27 | ||||||
De Bruin et al.(8) | 518 | HL | 9.4 | Premature menopause | Radiotherapy, MOPP or MOPP/ABV ABVD/EBVP | Highest associations of premature menopause with alkylating agents |
Adapted from Harel at al.(4)
HL: Hodgkin's lymphoma; NHL: Non-Hodgkin lymphoma; ABVD: Doxorubicin, bleomycin, vinblastine, dacarbazine; COPP/ABVD: Cyclophosphamide, vincristine, procarbazine, prednisone/doxorubicin, bleomycin, vinblastine, dacarbazine; BEACOPP: Bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, prednisolone; EBVP: Epirubicin, bleomycin, vinblastine, dacarbazine; AMH: Anti-Mullerian hormone; RT: Radiation therapy