Sperm Banking for Adolescent and Young Adult Cancer Patients: Sperm Quality, Patient, and Parent Perspectives

Ginsberg, Jill P.; Ogle, Susan K.; Tuchman, Lisa; Carlson, Claire A.; Reilly, Mary M.; Hobbie, Wendy L.; Rourke, Mary T.; Zhao, Huaqing; Meadows, Anna T.

doi:10.1002/pbc.21257

Cited by 139 publications

(102 citation statements)

References 22 publications

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“…Those recommendations include the development of a coordinating body and the creation and circulation of comprehensive fp education materials 16 . Similarly, other researchers note that fp discussions should be initiated by hcps, should include comprehensive reproductive health counselling, should be supplemented with education materials, and should be routinely repeated with patients during follow-up care [19][20][21][22][23] . Although such tactics are important, specific strategies that could be used while having oneon-one fp discussions with adolescents are not considered.…”

Section: What Is the Current Gap In Practice Related To Fertility Prementioning

confidence: 99%

Listening through Narratives: Using a Narrative Approach When Discussing Fertility Preservation Options with Young Cancer Patients

Roher

Gibson

et al. 2017

Current Oncology

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Despite clinical practice guideline recommendations mandating that fertility preservation be discussed with young cancer patients, many providers fail to initiate such discussions with adolescents. Researchers and clinicians often focus on system-level changes to improve access to fertility preservation for adolescents and young adults in Canada. However, little of the available information considers the way in which health care providers approach those discussions.Research has shown that, even when fertility preservation options are broached with adolescents, survivors often report dissatisfaction with those conversations, thus raising additional concerns about their content and quality. Here, we consider how a narrative approach-and the Frank narrative typology in particular-could improve the quality of such conversations by helping providers to more accurately and thoughtfully respond to the needs of adolescent patients when discussing the possibility of fertility preservation. Based on findings from a qualitative research project, we provide concrete suggestions for how to more sensitively approach fertility preservation conversations with male adolescent cancer patients and survivors.

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Section: What Is the Current Gap In Practice Related To Fertility Prementioning

confidence: 99%

Listening through Narratives: Using a Narrative Approach When Discussing Fertility Preservation Options with Young Cancer Patients

Roher

Gibson

et al. 2017

Current Oncology

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“…At present, very limited data are available on patients' perspectives at the time of sperm banking. 16 The purpose of this cross-sectional survey study was to explore factors associated with cancer patients' decision to bank sperm. …”

Section: Introductionmentioning

confidence: 99%

“Just what the doctor ordered”: Factors associated with oncology patients’ decision to bank sperm

Yee¹,

Fuller‐Thomson²,

Dwyer³

et al. 2012

CUAJ

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Introduction: The purpose of this cross-sectional study was to explore factors associated with oncology patients' decision to bank sperm prior to cancer treatment. Materials and Methods:Patients who were referred to the oncology sperm banking program between January 2009 and March 2010 were invited to complete an 18-item questionnaire during one of their sperm banking visits. Results: Of the 157 cancer patients referred to the Mount Sinai Oncology Sperm and Tissue Bank for sperm banking during the 15-month period, 79 questionnaires were returned (50% response rate). Of the respondents, 89% were informed about sperm banking by their physician. Future family planning was cited as the main reason to bank. Cost was not a barrier for the vast majority of respondents. Forty percent of respondents banked sperm within 4 days prior to initiating cancer treatment. Most respondents relied on their physician for verbal information on sperm banking. Eightyone percent were unaware of any patient organizations that have educational materials on oncology fertility preservation. Conclusion: Sperm banking prior to cancer treatment is the only proven method of preserving fertility for cancer patients. The two main determinants associated with deciding whether to bank sperm were: the physician's recommendation and the patient's desire for future fatherhood. Physicians play a key role in influencing patients' decisions. The recommendation to bank sperm is a persuasive message if patients are clearly informed about their potential risk of infertility post-cancer treatment, and that sperm banking is an effective way of preserving fertility. Providing patients with education materials might enhance compliance in sperm banking. RésuméIntroduction : Le but de cette étude transversale était d'explorer les facteurs influant sur la décision des patients atteints de cancer de mettre du sperme en banque avant un traitement anticancéreux. Matériel et méthodologie : Les patients qui ont été orientés vers le programme de conservation de sperme pour patients cancéreux entre janvier 2009 et mars 2010 ont été invités à remplir un questionnaire à 18 questions au cours d'une de leurs visites à la banque de sperme. Résultats :Sur les 157 patients cancéreux orientés vers la banque de sperme et de tissus du Mount Sinai Hospital pour la mise en banque de sperme durant la période de 15 mois, 79 ont retourné un questionnaire (taux de réponse de 50 %). De ces répondants, 89 % avaient reçu des informations sur la banque de sperme de la part de leur médecin. La planification familiale était mentionnée comme la principale raison d'utiliser la banque. Le coût n'était pas un obstacle pour la grande majorité des répondants. Quarante pour cent des répondants ont mis du sperme en banque dans les quatre jours précédant le début du traitement anticancéreux. La plupart des répondants avaient reçu des informations verbales de leur médecin sur la mise en banque de sperme. Quatre-vingt-un pour cent n'étaient pas au courant s'il existait des organisations de patie...

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“…Sperm banking is a well-established, effective, and accepted practice for collecting and storing male gametocytes in adolescent patients who are at Tanner III stage of development or greater [15,30,31]. In an adolescent male who is at the Tanner III stage of development or greater and can ejaculate after masturbation, it is a noninvasive procedure that can be accomplished prior to receiving therapy [31].…”

Section: Currently Available Fertility-preserving Methods For Malesmentioning

confidence: 99%

“…In an adolescent male who is at the Tanner III stage of development or greater and can ejaculate after masturbation, it is a noninvasive procedure that can be accomplished prior to receiving therapy [31]. Adequate samples can be collected with only 24-48 h between ejaculations so that storage of one or two samples before treatment could be accomplished in all but the most emergent cases [14].…”

Section: Currently Available Fertility-preserving Methods For Malesmentioning

confidence: 99%

“…Oocyte retrieval, cryopreservation, and storage for 1 year costs $5,538, with an additional $3,162 incurred at the time of thawing, IVF, and embryo transfer [42]. While these costs can pose a significant burden for a family facing the possibility of covering these costs out of pocket, it must be noted that patients do not cite cost as a significant consideration when making the decision whether or not to pursue fertility-preserving methods [31]. Patients with insufficient insurance coverage can be referred to nonprofit organizations such as Fertile Hope (www.…”

Section: Barriers To Fpmentioning

confidence: 99%

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Fertility preservation in patients receiving cyclophosphamide therapy for renal disease

et al. 2014

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Cyclophosphamide continues to have an important role in the treatment of renal disease, including nephrotic syndrome and lupus nephritis, despite known complications of gonadotoxicity and potential infertility in both male and female patients. It is important that the physician recommending this therapy mitigates the effect of the drug on fertility by adhering to recommendations on dosing limits and offering fertility-preserving strategies. In addition to wellestablished methods, such as sperm banking and embryo cryopreservation, advances in reproductive technology have yielded strategies such as oocyte cryopreservation, resulting in more fertility-preserving options for the pediatric patient. Despite these advances, there continues to be a significant barrier to referral and access to sperm banks and fertility specialists. These issues are further complicated by ethical issues associated with the treatment of pediatric patients. In this review we explore the development of recommended dosing limits and include a discussion of the available fertility-preserving methods, strategies for increasing access to fertility specialists, and the ethical considerations facing the pediatric healthcare provider.

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Sperm Banking for Adolescent and Young Adult Cancer Patients: Sperm Quality, Patient, and Parent Perspectives

Cited by 139 publications

References 22 publications

Listening through Narratives: Using a Narrative Approach When Discussing Fertility Preservation Options with Young Cancer Patients

Listening through Narratives: Using a Narrative Approach When Discussing Fertility Preservation Options with Young Cancer Patients

“Just what the doctor ordered”: Factors associated with oncology patients’ decision to bank sperm

Fertility preservation in patients receiving cyclophosphamide therapy for renal disease

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