“…Both MOPP and MVPP were found to produce a very high incidence of azoospermia, with only a few men recovering spermatogenesis after treatment (Chapman et al, 1979;Whitehead et al, 1982). Procarbazine, a component of both regimens, causes complete aplasia of the germinal epithelium in the rat (Jackson et al, 1961) and the non-human primate (Sieber et al, 1978), and mustine and vinblastine are also implicated in the germinal epithelial damage following MOPP/MVPP (Spitz, 1948;Vilar, 1975). Of these, only vinblastine is included in the ABVD regimen, which is reported as causing no permanent gonadal damage.…”