Oncofertility Procedures

Fertility-sparing surgery is increasingly being offered to women with a gynecological malignancy who wish to preserve fertility. For appropriately selected patients, fertility-sparing options can reduce the reproductive impact of lifesaving cancer treatments. Dr Tranoulis offers a variety of fertility-sparing options amongst women with gynaecological cancer:

For early-stage cervical cancers, fertility-sparing surgeries include:

  • Conisation
  • Simple or radical trachelectomy (removal of the cervix)
  • Total hysterectomy (removal of uterus, cervix and fallopian tubes) with ovarian preservation

In locally advanced cervical cancer,  ovarian transposition before radiation therapy can help preserve ovarian function and avoid early menopause.


For endometrial cancers, fertility-sparing treatment includes progesterone therapy (oral progesterone or MIRENA coil insertion or combination) with endometrial sampling every 3 to 6 months. 


For ovarian cancers, fertility-sparing surgery includes:

  • Ovarian cystectomy (e.g. germ cell tumours)
  • Unilateral salpingo-oophorectomy (unilateral removal of  fallopian tube and ovary) with staging
  • Bilateral salpingo-oophorectomy (preservation of uterus) with staging

Excellence in Surgical Care

Fertility-sparing  is a complicated surgery that should only be performed by highly skilled, experienced surgeons on patients who have been carefully selected for the procedure. Dr. Tranoulis is a Certified Gynaecological Oncologist  with extensive experience and research in the field of fertility preservation.

Dr. Tranoulis will carefully review your medical records and meet with you to determine if this operation may be an effective treatment for you. Two factors are critical for successful outcomes: First, careful patient selection to determine who may benefit the most with the least amount of risk, and second, performance of this operation by a Gynaecological Oncologist experienced in the care of complex cancer patients.