Described are methods for protecting the female reproductive system
against natural and artificial insults by administering to women a
composition comprising an agent that antagonizes one or more acid
sphingomyelinase (ASMase) gene products. Specifically, methods disclosed
herein serve to protect women's germline from damage resulting from
cancer therapy regimens including chemotherapy or radiotherapy. In one
aspect, the method preserves, enhances, or revives ovarian function in
women, by administering to women a composition containing
sphingosine-1-phosphate, or an analog thereof. Also disclosed are methods
to prevent or ameliorate menopausal syndromes and to improve in vitro
fertilization techniques.