If the lower mantle is treated in a female patient with Hodgkin's disease, gonadal protection may consist of:

When treating the lower mantle in a female patient with Hodgkin's disease, protecting the gonads is crucial to minimize the risk of radiation-induced damage and preserve ovarian function. Surgical relocation of the ovaries away from the treatment field is a proactive strategy that directly addresses the concern of radiation exposure. By surgically repositioning the ovaries, they are effectively moved out of the direct path of the radiation beams, thereby significantly reducing the likelihood of dose exposure and the associated risks, such as infertility or long-term endocrine effects.

This intervention is particularly effective because it provides a physical barrier against the radiation, ensuring that the ovaries are not inadvertently exposed during the treatment planning and delivery phases. The decision to undertake such a procedure is based on considerations of the patient's overall health, age, and the specific treatment regimen being planned.

In contrast, other methods, such as using posterior treatment ports or positioning the patient in a prone position, may not adequately protect the gonads, as they can still allow for incidental radiation exposure to the ovaries. Similarly, while a lead apron could provide some degree of protection, it may not be sufficient if the ovaries are within the treatment field or close to it. Thus, moving the ovaries surgically stands out as the most