Skip to main content
Top
Published in: Journal of Assisted Reproduction and Genetics 4/2018

01-04-2018 | Fertility Preservation

Psychosocial benefits of fertility preservation for young cancer patients

Authors: Juliana Assi, Juliana Santos, Tatiana Bonetti, Paulo C. Serafini, Eduardo L. A. Motta, Mauricio Barbour Chehin

Published in: Journal of Assisted Reproduction and Genetics | Issue 4/2018

Login to get access

Abstract

Purpose

The risk of ovarian failure after radiotherapy and/or chemotherapy is a concern among oncologic women. There is no doubt regarding the psycho-emotional benefits of fertility preservation (FP) after a cancer diagnosis because concerns about biological conception are a source of anxiety and can even affect the patient’s cancer recovery. The aim of this study was to evaluate oncology patients’ feelings, concerns, and life quality impacts related to FP.

Methods

This qualitative cross-sectional study was based on a questionnaire administered to a selected group of women diagnosed with cancer who underwent FP. Thirty-four eligible women (23–39 years old) completed this questionnaire.

Results

Two of the participants already had a child, and most of them (61.8%) stated a desire to have children at the time of FP. Their feelings primarily involved safety (44.1%) and hope (23.5%). Time and/or financial issues (82.4%) were the main challenge for FP. All of the women noted the importance of FP, with many stating that it is warranted to allow the possibility of a biological pregnancy due to the risk of infertility. Finally, questions about the impact on their lives if they had not undergone FP indicated emotional impairment, low quality of life, relationship problems, and uncertainty about maternity.

Conclusions

FP for oncology patients is a positive strategy. The women in this study felt that FP was a worthwhile process and that the security of having undergone FP brought them peace during oncological treatment and contributed to their quality of life.
Appendix
Available only for authorised users
Literature
1.
go back to reference Bastings L, Baysal Ö, Beerendonk CCM, IntHout J, Traas MAF, Verhaak CM, et al. Deciding about fertility preservation after specialist counselling. Hum Reprod. 2014a;29:1721–9.CrossRefPubMed Bastings L, Baysal Ö, Beerendonk CCM, IntHout J, Traas MAF, Verhaak CM, et al. Deciding about fertility preservation after specialist counselling. Hum Reprod. 2014a;29:1721–9.CrossRefPubMed
2.
go back to reference Bastings L, Baysal, Beerendonk CCM, Braat DDM, Nelen WLDM. Referral for fertility preservation counselling in female cancer patients. Hum Reprod. 2014b;29:2228–37.CrossRefPubMed Bastings L, Baysal, Beerendonk CCM, Braat DDM, Nelen WLDM. Referral for fertility preservation counselling in female cancer patients. Hum Reprod. 2014b;29:2228–37.CrossRefPubMed
3.
go back to reference Brasil. Ministério da Saúde. Gabinete do Ministro. Portaria n° 874, de 16 de maio de 2013. Institui a Política Nacional para a Prevenção e Controle do Câncer na Rede de Atenção à Saúde das Pessoas com Doenças Crônicas no âmbito do Sistema Único de Saúde (SUS).; Brasília: Ministério da Saúde; 2013. Brasil. Ministério da Saúde. Gabinete do Ministro. Portaria n° 874, de 16 de maio de 2013. Institui a Política Nacional para a Prevenção e Controle do Câncer na Rede de Atenção à Saúde das Pessoas com Doenças Crônicas no âmbito do Sistema Único de Saúde (SUS).; Brasília: Ministério da Saúde; 2013.
4.
go back to reference Carvalho BR. Oncofertility: foundations for bioethical reflection. Reprodução & Climatério. 2015;30:132–9.CrossRef Carvalho BR. Oncofertility: foundations for bioethical reflection. Reprodução & Climatério. 2015;30:132–9.CrossRef
5.
go back to reference Carvalho BR, Rodrigues JK, Campos JR, Marinho RM, Caetano JPJ, Silva ACJSR. An overview of female fertility preservation after cancer. Reproduçao & Climatério. 2015;29:123–9.CrossRef Carvalho BR, Rodrigues JK, Campos JR, Marinho RM, Caetano JPJ, Silva ACJSR. An overview of female fertility preservation after cancer. Reproduçao & Climatério. 2015;29:123–9.CrossRef
6.
go back to reference Chehin MB, Bonetti TC, Serafini PC, Motta ELA. Knowledge regarding fertility preservation in cancer patients: a population-based survey among Brazilian people during the pink October awareness event. JBRA Assist Reprod. 2017;21:84–8.CrossRefPubMedPubMedCentral Chehin MB, Bonetti TC, Serafini PC, Motta ELA. Knowledge regarding fertility preservation in cancer patients: a population-based survey among Brazilian people during the pink October awareness event. JBRA Assist Reprod. 2017;21:84–8.CrossRefPubMedPubMedCentral
7.
go back to reference Coccia PF, Pappo AS, Altman J. Adolescent and young adult oncology. J Natl Compr Cancer Netw. 2014;12:21–32.CrossRef Coccia PF, Pappo AS, Altman J. Adolescent and young adult oncology. J Natl Compr Cancer Netw. 2014;12:21–32.CrossRef
8.
go back to reference Deshpande NA, Braun IM, Meyer FL. Impact of fertility preservation counseling and treatment on psychological outcomes among women with cancer: a systematic review. Cancer. 2015;121:3938–47.CrossRefPubMed Deshpande NA, Braun IM, Meyer FL. Impact of fertility preservation counseling and treatment on psychological outcomes among women with cancer: a systematic review. Cancer. 2015;121:3938–47.CrossRefPubMed
9.
go back to reference Goossens J, Delbaere I, Beeckman D, Verhaeghe S, Van Hecke A. Communication difficulties and the experience of loneliness in patients with cancer dealing with fertility issues: a qualitative study. Oncol Nurs Forum. 2015;42:34–43.CrossRefPubMed Goossens J, Delbaere I, Beeckman D, Verhaeghe S, Van Hecke A. Communication difficulties and the experience of loneliness in patients with cancer dealing with fertility issues: a qualitative study. Oncol Nurs Forum. 2015;42:34–43.CrossRefPubMed
10.
go back to reference Johnson JA, Tough S. Society of obstetricians and gynecologists of Canada, delayed child-bearing. J Obstet Gynaecol Can. 2012;34:80–93.CrossRefPubMed Johnson JA, Tough S. Society of obstetricians and gynecologists of Canada, delayed child-bearing. J Obstet Gynaecol Can. 2012;34:80–93.CrossRefPubMed
11.
go back to reference Kim SY, Kim SK, Lee JR, Woodruff TK. Toward precision medicine for preserving fertility in cancer patients: existing and emerging fertility preservation options for women. J Gynecol Oncol. 2016;27 Kim SY, Kim SK, Lee JR, Woodruff TK. Toward precision medicine for preserving fertility in cancer patients: existing and emerging fertility preservation options for women. J Gynecol Oncol. 2016;27
12.
go back to reference Lambertini M, Del Mastro L, Pescio MC, Andersen CY, Azim HA, Peccatori FA, et al. Cancer and fertility preservation: international recommendations from an expert meeting. BMC Med. 2016;14:1.CrossRefPubMedPubMedCentral Lambertini M, Del Mastro L, Pescio MC, Andersen CY, Azim HA, Peccatori FA, et al. Cancer and fertility preservation: international recommendations from an expert meeting. BMC Med. 2016;14:1.CrossRefPubMedPubMedCentral
13.
go back to reference Lee SJ, Schover LR, Patridge AH, Patrizio P, Wallace WH, Hagerty K. American society of clinical oncology recommendations on fertility preservation in cancer patients. J Clin Oncol. 2006;24:2917–31.CrossRefPubMed Lee SJ, Schover LR, Patridge AH, Patrizio P, Wallace WH, Hagerty K. American society of clinical oncology recommendations on fertility preservation in cancer patients. J Clin Oncol. 2006;24:2917–31.CrossRefPubMed
14.
go back to reference Loren AW, Mangu PB, Beck LN, Brennan L, Magdalinski AJ, Partridge AH, et al. Fertility preservation for patients with cancer: American Society of Clinical Oncology clinical practice guideline update. J Clin Oncol. 2013;31:2500–10.CrossRefPubMedPubMedCentral Loren AW, Mangu PB, Beck LN, Brennan L, Magdalinski AJ, Partridge AH, et al. Fertility preservation for patients with cancer: American Society of Clinical Oncology clinical practice guideline update. J Clin Oncol. 2013;31:2500–10.CrossRefPubMedPubMedCentral
15.
go back to reference Partridge AH, Gelber S, Peppercorn J, Sampson E, Knudsen K, Laufer M, et al. Web-based survey of fertility issues in young women with breast cancer. J Clin Oncol. 2004;22:4174–83.CrossRefPubMed Partridge AH, Gelber S, Peppercorn J, Sampson E, Knudsen K, Laufer M, et al. Web-based survey of fertility issues in young women with breast cancer. J Clin Oncol. 2004;22:4174–83.CrossRefPubMed
16.
go back to reference Preaubert L, Pibarot M, Courbiere B. Can we improve referrals for fertility preservation? Evolution of practices after the creation of a fertility network. Future Oncol. 2016;12(19):2175–7.CrossRefPubMed Preaubert L, Pibarot M, Courbiere B. Can we improve referrals for fertility preservation? Evolution of practices after the creation of a fertility network. Future Oncol. 2016;12(19):2175–7.CrossRefPubMed
17.
go back to reference Samrsla M, Nunes JC, Kalume C, Cunha ACR, Garrafa V. Bioethical study on the expectations of women awaiting assisted reproduction in a public hospital in the Federal District, Brazil. Rev Assoc Med Bras. 2007;53:47–52.CrossRefPubMed Samrsla M, Nunes JC, Kalume C, Cunha ACR, Garrafa V. Bioethical study on the expectations of women awaiting assisted reproduction in a public hospital in the Federal District, Brazil. Rev Assoc Med Bras. 2007;53:47–52.CrossRefPubMed
18.
19.
go back to reference Yee S, Abrol K, McDonald M, Tonelli M, Liu KE. Addressing oncofertility needs: views of female cancer patients in fertility preservation. J Psychosoc Oncol. 2012;30:331–46.CrossRefPubMed Yee S, Abrol K, McDonald M, Tonelli M, Liu KE. Addressing oncofertility needs: views of female cancer patients in fertility preservation. J Psychosoc Oncol. 2012;30:331–46.CrossRefPubMed
Metadata
Title
Psychosocial benefits of fertility preservation for young cancer patients
Authors
Juliana Assi
Juliana Santos
Tatiana Bonetti
Paulo C. Serafini
Eduardo L. A. Motta
Mauricio Barbour Chehin
Publication date
01-04-2018
Publisher
Springer US
Published in
Journal of Assisted Reproduction and Genetics / Issue 4/2018
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-018-1131-7

Other articles of this Issue 4/2018

Journal of Assisted Reproduction and Genetics 4/2018 Go to the issue