Table 5.
Different GnRHa protocols used in the studies that assessed its potential benefit before/during high-dose chemotherapy in preserving normal gonadal function and fertility in HSCT female recipients.
| Study | GnRHa | Dose | Timing |
|---|---|---|---|
| Blumenfeld, 2008, 2012 | Triptorelin | A monthly depot injection of 3.75 mg | 10–14 days before any gonadotoxic therapy and monthly during chemotherapy |
| Cheng, 2011 | Leuprolide | 22.5 mg in a 3-month depot i.m. injection | 2 months prior to HSCT |
| Phelan, 2016 | Leuprolide | Long-acting 11.25 mg i.m. once + short-acting 0.2 mg s.c. daily for 14 days | 30 days prior to initiation of the HSCT conditioning regimen |
| Demeestere, 2013, 2016 | Triptorelin | 11.25 mg every 12 weeks in addition to norethisterone acetate at 5 mg once per day | 10 days before the start of chemotherapy if possible |
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