# Neuro-Oncology of Women (NOW): Special Considerations Regarding Management of Women of Reproductive Age with Glioma

## TL;DR

This paper reviews specialized cancer care for women of reproductive age with gliomas, highlighting unique considerations like fertility and pregnancy planning.

## Contribution

The paper provides a streamlined guideline for managing glioma in women of reproductive age, addressing gaps in current clinical practices.

## Key findings

- Current management lacks a central resource, leading to inconsistent care for women with gliomas.
- Special considerations include fertility preservation, epilepsy management, and sexual well-being.
- Clinicians often fail to adhere to guidelines for neuro-oncology of women.

## Abstract

Cancer care for women is nuanced, and this is particularly true for neuro-oncology of women (NOW). A subset of women who require even more specialized care are those of reproductive age. The purpose of this review is to streamline guideline-directed care for women with gliomas, specifically those of childbearing potential.

No central resource for management of glioma in women exists, and previous studies show that clinicians do not always adhere to guideline-directed care of these patients and significant care gaps exist for NOW patients.

NOW patients have special considerations in their cancer care including but not limited to pregnancy planning, chemotherapy counseling, management of epilepsy, fertility, and sexual well-being.