Pregnancy attempts among adolescent and young adult cancer survivors

Anderson, Chelsea; Fitz, Victoria W.; Deal, Allison M.; Getahun, Darios; Kwan, Marilyn L.; Mersereau, Jennifer E.; Kushi, Lawrence H.; Chao, Chun; Nichols, Hazel B.

doi:10.1016/j.fertnstert.2022.12.024

Cited by 5 publications

(9 citation statements)

References 17 publications

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“…The cancer type is also significantly associated with pregnancy. Gynecological cancer survivors are less likely to become pregnant than thyroid cancer survivors are (Anderson et al 2023).…”

Section: Discussionmentioning

confidence: 99%

“…The results of a study by Mattsson et al (2020) showed that 59.6% of ovarian cancer survivors and 60% of uterine cancer survivors did not have children before being diagnosed with cancer. Results study of Anderson et al (2023) found that more than half (59%) of the respondents had never given birth before being diagnosed with cancer. Only 21% of the women were pregnant for 10 years from the time of cancer diagnosis.…”

Section: Psychosocial Impacts Affecting Reproductionmentioning

confidence: 99%

“…Adolescent and young adult survivors aged 35-39 (PR= 0.59; 95% CI, 0.41, 0.86) at diagnosis were less likely to become pregnant from 15 to 24 years of age. Based on cancer characteristics, the type of cancer is significantly associated with pregnancy; survivors of gynecological cancer (PR=0.46; 95% CI, 0.32-0.67) are less likely to become pregnant than survivors of thyroid cancer (Anderson et al, 2023).…”

Section: Psychosocial Impacts Affecting Reproductionmentioning

confidence: 99%

“…Four studies reported a need for reproductive support (Anderson et al, 2023;Mattsson et al, 2020;Urech et al, 2018;Young et al, 2019). Adolescent and young adult cancer survivors did not receive fertility preservation services (88,2%) (Young et al, 2019); only 29.9% followed fertility preservation (Urech et al, 2018).…”

Section: Need For Reproductive Supportmentioning

confidence: 99%

“…Based on the type of cancer, 85% of gynecological cancer survivors discussed fertility, and 25% received counseling from a fertility specialist. Fertility counseling conducted with health professionals or fertility specialists from the diagnosis of cancer to the start of treatment was significantly associated with successful pregnancy (PR=1.74; 95% CI, 1.31, 2.32) (Anderson et al, 2023).…”

Section: Need For Reproductive Supportmentioning

confidence: 99%

See 4 more Smart Citations

Reproductive Problems in Adolescent and Young Adult Gynecology Cancer Survivors: A Systematic Review

Amalina

Afiyanti

Rachmawati

2023

jika

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Adolescents and young adults with gynecology cancer are unique, especially in terms of their reproductive and sexual aspects. This systematic review aimed to identify reproductive problems in adolescent and young adult survivors of gynecology cancer. Articles from five databases were reviewed. PubMed, Taylor & Francis, Scopus, Science Direct, and Proquest, which were published in 2012-2023, 15-39 years of age, who had gynecology cancer and had completed cancer treatment. Biased risk assessment using Joanna Briggs Institute (JBI) tools. From the 1.167 articles, 12 were reviewed in this systematic review. Based on the results of the study, there were 4479 adolescent and young adult cancer survivors and 990 with gynecology cancer (cervical, ovarian, endometrial, pelvic, and vulva). The average age at diagnosis of cancer was 33,58 years old. Reproductive problems that occur in adolescents and young adults are sexual dysfunction, sexual activity, fertility, and psychosocial problems as a result of reproductive problems. Adolescent and young adult cancer survivors need information on reproductive issues and fertility maintenance after completing cancer treatment. Health professionals must focus on reproductive problems and counselling about long-term reproductive health among adolescent and young adult gynecology cancer survivors.

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“…The cancer type is also significantly associated with pregnancy. Gynecological cancer survivors are less likely to become pregnant than thyroid cancer survivors are (Anderson et al 2023).…”

Section: Discussionmentioning

confidence: 99%

Section: Psychosocial Impacts Affecting Reproductionmentioning

confidence: 99%

Section: Psychosocial Impacts Affecting Reproductionmentioning

confidence: 99%

Section: Need For Reproductive Supportmentioning

confidence: 99%

Section: Need For Reproductive Supportmentioning

confidence: 99%

See 3 more Smart Citations

Reproductive Problems in Adolescent and Young Adult Gynecology Cancer Survivors: A Systematic Review

Amalina

Afiyanti

Rachmawati

2023

jika

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Racialized inequities in live birth after cancer: A population‐based study of 63,000 female adolescents and young adults with cancer

Betts,

Roth,

Albritton

et al. 2024

Cancer

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IntroductionFertility after cancer is a top concern for adolescents and young adults with cancer (AYAs) (15–39 years old at diagnosis). The authors characterized live births after cancer by race and ethnicity (“race/ethnicity”) in a population‐based sample of female AYAs.MethodsThis study used Texas Cancer Registry data linked to birth certificates (1995–2016) to estimate cumulative incidence of live birth, based on first live birth after cancer, and compared differences by race/ethnicity. Proportional subdistribution hazards models were used to estimate associations between race/ethnicity and live birth, adjusted for diagnosis age, cancer type, stage, year, and prior live birth, overall and for each cancer type.ResultsAmong 65,804 AYAs, 10‐year cumulative incidence of live birth was lower among non‐Hispanic Black AYAs than other racial/ethnic groups: 10.2% (95% confidence interval [CI], 9.4–10.9) compared to 15.9% (95% CI, 14.1–17.9) among Asian or Pacific Islander, 14.7% (95% CI, 14.2–15.3) among Hispanic, and 15.2% (95% CI, 14.8–15.6) among non‐Hispanic White AYAs (p < .01). In the adjusted overall model, Black AYAs were less likely to have a live birth after cancer than all other groups. In adjusted models for each cancer type, live birth was significantly less likely for Black AYAs with gynecologic cancers or lymphomas (compared to White AYAs) or thyroid cancers (compared to Hispanic AYAs).ConclusionBlack AYAs are less likely than AYAs of other races/ethnicities to have a live birth after cancer, in contrast to patterns of live birth in the general population. Research and action to promote childbearing equity after cancer are imperative.

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Association of platinum-based chemotherapy with live birth and infertility in female survivors of adolescent and young adult cancer

Zhou,

Kwan,

Desai

et al. 2024

Fertility and Sterility

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Pregnancy attempts among adolescent and young adult cancer survivors

Cited by 5 publications

References 17 publications

Reproductive Problems in Adolescent and Young Adult Gynecology Cancer Survivors: A Systematic Review

Reproductive Problems in Adolescent and Young Adult Gynecology Cancer Survivors: A Systematic Review

Racialized inequities in live birth after cancer: A population‐based study of 63,000 female adolescents and young adults with cancer

Association of platinum-based chemotherapy with live birth and infertility in female survivors of adolescent and young adult cancer

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