Scalp Cooling in Gynecologic Cancer Patients

Inclusion Criteria: 1. Patients must be at least 18 years old. 2. Patients with primary gynecologic cancers. 3. Patients who are going to receive at least four cycles of chemotherapy that are known to induce alopecia, such as carboplatin, paclitaxel, taxotere, topotecan, etoposide, vincristine and ifosfamide. 4. Patients who are fit to give informed consent. Exclusion Criteria: 1. Patients who have pre-existing alopecia of CTCAE v5.0 grade 1 or above will be excluded. 2. Patients who have the following conditions will be excluded: 1. migraine 2. scalp or brain metastasis 3. hypothyroidism 4. uncontrolled diabetes 5. liver and / or renal derangement (where liver enzymes and / or creatinine are 1.5x more than upper normal limit) 6. severe untreated anaemia 7. cold sensitivity 8. cold agglutinin disease, cryoglobulinemia, or cryofibrinogenemia 3. Patients who had brain irradiation. 4. Patients who have documented psychiatric disorders will be excluded. 5. Patients who are pregnant.