Fertility Considerations for Female Adoelscent and Young Adult Patients Following Cancer Therapy: A Guide for Counseling Patients and Their Families

Davis, Melissa

doi:10.1188/06.cjon.213-219

Cited by 16 publications

(9 citation statements)

References 30 publications

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“…Clinical guidelines (Lee et al . ) and researchers (Davis ; Maltaris et al . ) recommend that fertility information should be provided at the point of diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Loss, uncertainty, or acceptance: subjective experience of changes to fertility after breast cancer

Perz

Ussher

Gilbert

2013

Eur J Cancer Care (Engl)

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This qualitative study examines the subjective experience of infertility in a large sample of Australian women with breast cancer. Participants were 1830 women, average age 54, who responded to an email invitation to complete an online survey on sexual well-being and fertility concerns after breast cancer. 24.6% (n = 452) reported that cancer had affected their fertility; 21.3% (n = 391) did not know their fertility status. In thematic analysis of open-ended responses provided by 381 women about changes to fertility status, reactions to infertility, and experiences of information and interventions to assist fertility, five themes were identified: 'Negative responses to infertility and early menopause'; 'Sexual changes associated with menopause and infertility'; 'Uncertainty and anxiety about fertility status'; 'Information and fertility preservation'; 'Acceptance of the end of fertility'. These findings confirm previous reports that infertility and premature menopause are a significant cause of anxiety for many women with breast cancer. However, some women closer to natural menopause, or who had completed their families, reported acceptance of changed fertility status. Accounts of deficits in information provision and fertility counselling suggest an urgent need for accessible and comprehensive information about fertility and cancer to be developed and evaluated, as well as education and training of health professionals in addressing fertility concerns following cancer.

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“…Clinical guidelines (Lee et al . ) and researchers (Davis ; Maltaris et al . ) recommend that fertility information should be provided at the point of diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Loss, uncertainty, or acceptance: subjective experience of changes to fertility after breast cancer

Perz

Ussher

Gilbert

2013

Eur J Cancer Care (Engl)

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“…Seven journal articles met the search criteria (Crawshaw, Glaser, Hale, & Sloper, 2004;Davis, 2006;Dow & Kuhn, 2004;Goodwin et al, 2007;Keating, 1992;Koeppel, 1995;Wallace, 2007). Medline ® and PsycINFO ® databases were searched for peer-reviewed, English-language articles that included FP discussions by healthcare professionals with patients with cancer.…”

Section: Study Instrumentmentioning

confidence: 99%

“…A lthough advances in treatment have led to increased cancer survival rates, they also have brought certain undesirable consequences, including infertility, which may result as an adverse long-term effect of cancer treatment (Davis, 2006;Rosoff & Katsur, 2003). Cancer treatments involving surgery, chemotherapy, or radiation may damage fertility.…”

mentioning

confidence: 99%

Oncology Nurses' Perceptions of Barriers to Discussion of Fertility Preservation With Patients With Cancer

King¹,

Quinn²,

Vadaparampil³

et al. 2008

Clinical Journal of Oncology Nursing

107

123

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Infertility is a common result of cancer treatment; however, opportunities exist for patients to preserve fertility prior to treatment. Recent evidence suggests that healthcare providers, including nurses, do not consistently discuss fertility preservation (FP) with patients. This qualitative, cross-sectional pilot study used a focus group and in-depth interviews to explore knowledge, attitudes, and practice behaviors related to nurses' discussion of FP with patients with cancer. Results indicate that only half of the nurses discuss FP methods with patients, even though most believe that having discussions with patients about fertility is part of their role. Factors associated with the discussion of FP among nurses included (a) knowledge (FP procedures, fertility institutes and clinics, resources for patients, and practice guidelines), (b) attitudes (difficulty finding facilities, time constraints, role, comfort level, ethical issues, financial considerations, and patient characteristics), and (c) behaviors (patient initiation, physician behaviors, patient characteristics, and timing). Discussion should be stimulated among nurses about the role of nurses in the FP discussion, and educational interventions and practice guidelines should be developed that are aimed at oncology nurses to help facilitate discussions with patients.

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“…Women newly diagnosed with cancer are, of course, overwhelmed and concerned with the issue of survival, but this also is the time when they should be informed that the recommended treatment may damage their fertility (Davis, 2006). The literature has shown that women diagnosed with cancer are highly interested in fertility intervention; however, many oncologists are either not providing the necessary information to these women and their families or are doing so suboptimally (Lee et al, 2006).…”

Section: Etiologymentioning

confidence: 99%

Fertility Preservation: An Option for Women With Cancer?

Shear

2010

Clinical Journal of Oncology Nursing

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Many women of childbearing age are diagnosed with cancer in the United States each year. Improved survival rates can give many time to still have their own families if they choose. Although cancer treatments can dramatically increase survivorship, they also can negatively affect future fertility. Women newly diagnosed with cancer may not be aware of the possible damage to their future fertility as their main concern is survival. Women who may have their fertility compromised by cytotoxic treatments should be counseled and referred to reproductive specialists to explore their options. Although receiving a diagnosis of cancer is overwhelming, fertility counseling should be initiated as early as possible so that sufficient time exists to preserve fertility before ovarian damage occurs. Many fertility preservation options, including egg, embryo, and ovarian tissue freezing, can be done in a short period of time so as not to delay the start of cancer treatment. To educate and support women with cancer of childbearing age, oncology nurses should be aware of fertility preservation options and work closely with infertility nurses.

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Fertility Considerations for Female Adoelscent and Young Adult Patients Following Cancer Therapy: A Guide for Counseling Patients and Their Families

Cited by 16 publications

References 30 publications

Loss, uncertainty, or acceptance: subjective experience of changes to fertility after breast cancer

Loss, uncertainty, or acceptance: subjective experience of changes to fertility after breast cancer

Oncology Nurses' Perceptions of Barriers to Discussion of Fertility Preservation With Patients With Cancer

Fertility Preservation: An Option for Women With Cancer?

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