Ovocyte vitrification was finally authorized by the new law voted in July 2011 upon the revision of the French bioethics law. Expected for 30 years, cryopreservation of female gametes had a major impact on Assisted Reproductive Technologies (ART) practice worldwide and in our country. It brought tremendous changes in the field of reproductive biology, from intraconjugal infertility management to gamete donation, through autologous cryopreservation for fertility preservation. Although it appears to be "obvious", ovocyte vitrification seems to be barely used as a routine technique in French IVF laboratories. We will discuss the events that led to the present situation. We will also tackle the expected benefits of ovocyte vitrification especially as an alternative to embryo freezing.
In recent years, the law n˚ 2011-814 of July 7, 2011 relating to the bioethics authorizes the ultra-rapid freezing of the oocytes offering to the centers of medical assistance with procreation a new tool at the service of the preservation of the female fertility. Although the medical proposal to resort to preservation has taken its place in cancerous pathologies, the same is not the case for other situations of risk of impaired fertility, whether medical or surgical. Endometriosis, which we know the impact on fertility, is a perfect example of the need to set up a treatment course with cryo-oocytes conservation for young patients before surgical management. We report the first birth after treatment for preservation of fertility in the context of severe hyperalgic endometriosis. The meeting between the MPA and the pelvic gynecological surgery is a step forward for these women. We will discuss the implementation of a protocol of care in the image of what exists on fertility.
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