Building a successful fertility preservation program at a major cancer center

Kim, Ja‐Yeon; Kim, Kenneth H.; Mersereau, Jennifer E.

doi:10.3802/jgo.2014.25.2.148

Cited by 23 publications

(16 citation statements)

References 40 publications

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“…Education on how to effectively inform patients about fertility are essential for those involved in cancer management. [34]. In this context, the optimal role of the general health practitioner in fertility counselling should be further investigated.…”

Section: Discussionmentioning

confidence: 99%

Childbearing across borders: Fertility and parenthood attitudes and decisions among breast cancer survivors in USA and Portugal

et al. 2018

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Objective To compare fertility and childbearing attitudes and decisions of Portuguese and American female reproductive aged breast cancer survivors. Methods This was a cross-sectional study of 102 young breast cancer survivors (59 from Portugal and 43 from USA). Demographic, clinical and reproductive information were collected. Fertility and parenthood attitudes and decisions were assessed through a self-report questionnaire devised specifically for the study. Results Fertility issues became very important after the diagnosis for most of the women (51%). Few differences existed between USA and Portuguese participants. USA participants were more likely to undergo FP (23% USA vs Portugal 5%, p=0.01). Portuguese women were more dissatisfied with their physician's explanations about fertility (Portugal: 23% vs USA: 3%; p = 0.01). Overall, women relied on their oncologist for fertility information (70%); only Portuguese women discussed fertility with their family medicine physician (11%). Overall, women showed positive attitudes towards motherhood. Portuguese women were more likely to report their partners placed more value on the family after their illness (Portuguese agree: 55% vs USA agree: 14%; p< 0.001). Conclusions Fertility and childbearing after breast cancer are important issues regardless of culture, background or country's heath care system. Overall, few differences across the USA and Portuguese samples were found on fertility and childbearing attitudes and decisions.

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Section: Discussionmentioning

confidence: 99%

Childbearing across borders: Fertility and parenthood attitudes and decisions among breast cancer survivors in USA and Portugal

et al. 2018

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“…It will require oncology specialists to become aware of the latest achievements in fertility preservation medicine, sensitiveness to individual patients' values and goals and multidisciplinary approach. Kim and colleagues suggest to have a highly skilled team consisting of oncologists, fertility specialists, embryologists, and mental health professionals [58].…”

Section: Healthcare Professionals' Attitudes Towards Fertility Consulmentioning

confidence: 99%

Fertility preservation in cancer patients: The global framework

Linkeviciute

Boniolo

Chiavari

et al. 2014

Cancer Treatment Reviews

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Cancer treatment is the most frequent cause of reduced fertility in cancer patients, with up to 80% of survivors affected. None of the established or experimental fertility preservation methods can assure parenthood; instead it may provide a future opportunity to overcome treatment induced sterility. Previous research demonstrated that fertility counselling has clinical and psychological benefit. Therefore, such patient services are recommended by internationally recognized guidelines. Around 70-75% of young cancer survivors in retrospective studies are reported to desire parenthood but the numbers of patients who use fertility preservation services prior treatment are significantly lower. Moreover, despite existing guidelines healthcare professionals worldwide lack practical knowledge and have personal biases which prevent addressing fertility preservation issues adequately. Surveys of healthcare professionals report the following barriers: lack of time and knowledge about existing options, poor prognosis, and delay in treatment, patient's age, partnership status, existing children, sexual orientation and socioeconomic situation. Moreover, fertility preservation consultation is not limited to medical aspects. Patient's fears, expectations and priorities shaped by personal values have to be addressed in a light of medical necessities, realistic survival prognosis, socio-cultural environment and availability of resources. We call for a need of framework for patient centred fertility counselling with a proposal that such framework should include support in decision making which would help patients to understand medical aspects of their cancer, realistic fertility preservation options, identify their preferences based on personal values and goals. Optional support services could also include legal guidance, psychological and spiritual support and financial counselling.

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“…17 Other studies show provider bias against FP referral for gay men with cancer, as well as low access to FP referral in nonheterosexual women, despite no differences in desire for future pregnancy in this population compared to heterosexual women. 6 Cancer patients' desire for parenthood…”

Section: Barriers To Implementation Of National Fp Guidelinesmentioning

confidence: 99%

“…67 Many elements from the Fertile Hope strategy have been incorporated into current FP programs throughout the USA. 6,68,69 Optimizing institutional standard practices …”

Section: Fertile Hope Centers Of Excellencementioning

confidence: 99%

“…68 The University of North Carolina employs a multidisciplinary strategy that also includes pathologists and laboratory personnel among its team members to help facilitate tissue banking. 6 The development of efficient and standardized systems to support FP within institutions has the potential to improve both psychosocial outcomes and rates of FP in AYAs with cancer. 21,[69][70][71][72] Cancer patients who did not receive fertility counseling report low self-esteem, regret for not proactively questioning their infertility risks, guilt for not being able to conceive a child for their partner, and/or fear of never finding a partner.…”

Section: Multidisciplinary Teamsmentioning

confidence: 99%

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Innovative fertility preservation strategies and programs for young adults with cancer

Johnson¹

2016

COAYA

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Preservation of fertility is a key issue for young adults newly diagnosed with cancer. Up to 90% of cancer patients under the age of 45 are at risk for fertility impairment following cancer therapy. Cancer patients who are not offered fertility preservation (FP) and those who become infertile following therapy may experience long-term psychosocial distress. This review summarizes the numerous effective strategies for preserving fertility, including sperm banking, electroejaculation, and testicular sperm extraction in males and cryopreservation of embryos or oocytes in females. This paper also highlights novel methods currently in development, such as gonadal tissue cryopreservation and in vitro maturation of gametes. In women, anti-Mullerian hormone is emerging as an accurate marker of ovarian reserve, and the use of gonadotropin releasing hormone analogs to protect fertility is increasingly well validated. Although national guidelines mandate FP counseling and referral prior to the start of cancer therapy for patients with reproductive potential, only a minority of young cancer patients in the USA currently take steps to preserve fertility prior to the start of therapy. Some cancer centers across the USA are developing institutional strategies to support FP, resulting in increased utilization of fertility services by newly diagnosed cancer patients.

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Building a successful fertility preservation program at a major cancer center

Cited by 23 publications

References 40 publications

Childbearing across borders: Fertility and parenthood attitudes and decisions among breast cancer survivors in USA and Portugal

Childbearing across borders: Fertility and parenthood attitudes and decisions among breast cancer survivors in USA and Portugal

Fertility preservation in cancer patients: The global framework

Innovative fertility preservation strategies and programs for young adults with cancer

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