Subfertility in Adolescents with Cancer: Who is at Risk and What can be Done?

Wallace, William H.; Brougham, Mark

doi:10.1002/9780470994733.ch13

Cited by 2 publications

(2 citation statements)

References 87 publications

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“…Studies have shown fertility to figure highly among the concerns of adult survivors of childhood/adolescent cancer, characterised by unmet needs for information, advice and support (Blacklay et al 1998;Weigers et al 1998;Zebrack & Chesler 2001;Davies et al 2003;Zebrack et al 2004). Related physical effects include delayed pubertal growth, osteoporosis, premature menopause and obstetric complications (Wallace et al 2001;Wallace & Brougham 2005;Pacey 2007). Premature menopause has been shown to affect quality of life in adult onset cancer survivors (Ferrell et al 1997;Gonz et al 2003;Avis et al 2004).…”

Section: Introductionmentioning

confidence: 99%

‘Swimming against the tide’- the influence of fertility matters on the transition to adulthood or survivorship following adolescent cancer

Crawshaw

Sloper

2010

European Journal of Cancer Care

133

218

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Psychosocial research into cancer-related fertility has concentrated on fertility preservation or adult survivors' concerns. This study reports on its hitherto unreported impact over the time from diagnosis to survivorship. Thirty-eight men and women aged<30, diagnosed as teens, were recruited to an exploratory qualitative study. Analysis used the constant comparison method, considered conceptually within a lifespan approach. Four key experiences of managing fertility matters influenced, or were influenced by, the aftermath of cancer treatment: (1) prioritising 'normality' and marginalising fertility; (2) fertility concerns compromising 'normality'; (3) ongoing impairments/health concerns mediating fertility matters; (4) fertility concerns dominating the cancer legacy. Professional and social networks provided few opportunities to ask questions, receive information, process feelings or develop handling strategies. Beliefs about the extent of fertility damage did not necessarily relate to information received. For some, fertility matters affected identity, well-being and life planning as well as reproductive function. This was not restricted to particular ages, life stages, gender or time since treatment ended and was heightened by associated stigma and silence. Opportunities for dialogue should be offered regularly across health and social work disciplines given fertility's psychological and social as well as medical significance.

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Section: Introductionmentioning

confidence: 99%

‘Swimming against the tide’- the influence of fertility matters on the transition to adulthood or survivorship following adolescent cancer

Crawshaw

Sloper

2010

European Journal of Cancer Care

133

218

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“…Medical knowledge of cancer‐related fertility effects remains incomplete (Reid 2000; Wallace et al . 2001; Wallace & Brougham 2005). Ongoing physical effects can include delayed pubertal growth, osteoporosis, premature menopause and obstetric complications (Davies et al .…”

Section: Introductionmentioning

confidence: 99%

Male and female experiences of having fertility matters raised alongside a cancer diagnosis during the teenage and young adult years

Crawshaw

Glaser

Hale

et al. 2009

European Journal of Cancer Care

114

234

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Discussion and management of potential reproductive health sequelae of adolescent cancer are essential and challenging components of care for the multidisciplinary team. Despite this, research has been limited to specific experiences (e.g. sperm banking) or fertility-related concerns of adult survivors. This grounded theory study of 38 male and female survivors of adolescent cancer aged 16-30 years drew on in-depth single interviews to map the range of experiences of being advised that treatment might affect fertility. Strong support for being told at around diagnosis was found regardless of gender, age, incapacity or availability of fertility preservation services. Age and life stage appeared less significant for impact than the perceived level of threat to personal and social well-being. Women were more likely to achieve lower levels of comprehension about the physiological impact, to report later distress from lack of fertility preservation services and to revisit more frequently those decisions made by the few offered fertility preservation. Men found decision making about sperm banking straightforward on the whole and reported satisfaction with having the choice regardless of outcome. Findings suggest that young people can cope with this information alongside diagnosis especially when professional and parental support is proportionate to the particular impact on them.

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Subfertility in Adolescents with Cancer: Who is at Risk and What can be Done?

Cited by 2 publications

References 87 publications

‘Swimming against the tide’- the influence of fertility matters on the transition to adulthood or survivorship following adolescent cancer

‘Swimming against the tide’- the influence of fertility matters on the transition to adulthood or survivorship following adolescent cancer

Male and female experiences of having fertility matters raised alongside a cancer diagnosis during the teenage and young adult years

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