Psychosocial benefits of fertility preservation for young cancer patients

  • Juliana Assi
  • Juliana Santos
  • Tatiana Bonetti
  • Paulo C. Serafini
  • Eduardo L. A. Motta
  • Mauricio Barbour Chehin
Fertility Preservation
  • 26 Downloads

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.

Keywords

Fertility preservation Oncofertility Psychological aspects Questionnaire Nursing 

Notes

Acknowledgements

We are very thankful to Huntington Medicina Reprodutiva for conducting the fertility preservation procedures and care for the cancer patients.

References

  1. 1.
    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.CrossRefPubMedGoogle Scholar
  2. 2.
    Bastings L, Baysal, Beerendonk CCM, Braat DDM, Nelen WLDM. Referral for fertility preservation counselling in female cancer patients. Hum Reprod. 2014b;29:2228–37.CrossRefPubMedGoogle Scholar
  3. 3.
    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.Google Scholar
  4. 4.
    Carvalho BR. Oncofertility: foundations for bioethical reflection. Reprodução & Climatério. 2015;30:132–9.CrossRefGoogle Scholar
  5. 5.
    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.CrossRefGoogle Scholar
  6. 6.
    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.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Coccia PF, Pappo AS, Altman J. Adolescent and young adult oncology. J Natl Compr Cancer Netw. 2014;12:21–32.CrossRefGoogle Scholar
  8. 8.
    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.CrossRefPubMedGoogle Scholar
  9. 9.
    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.CrossRefPubMedGoogle Scholar
  10. 10.
    Johnson JA, Tough S. Society of obstetricians and gynecologists of Canada, delayed child-bearing. J Obstet Gynaecol Can. 2012;34:80–93.CrossRefPubMedGoogle Scholar
  11. 11.
    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;27Google Scholar
  12. 12.
    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.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    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.CrossRefPubMedGoogle Scholar
  14. 14.
    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.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    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.CrossRefPubMedGoogle Scholar
  16. 16.
    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.CrossRefPubMedGoogle Scholar
  17. 17.
    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.CrossRefPubMedGoogle Scholar
  18. 18.
    Siegel R, Naishadham D, Jemal A. Cancer statistics, 2013. CA Cancer J Clin. 2013;63:11–30.CrossRefPubMedGoogle Scholar
  19. 19.
    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.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Juliana Assi
    • 1
  • Juliana Santos
    • 1
  • Tatiana Bonetti
    • 1
    • 2
  • Paulo C. Serafini
    • 1
    • 3
  • Eduardo L. A. Motta
    • 1
    • 2
  • Mauricio Barbour Chehin
    • 1
    • 2
    • 4
  1. 1.Huntington—Medicina ReprodutivaSão PauloBrazil
  2. 2.Disciplina de Ginecologia Endocrinológica, Departamento de GinecologiaEscola Paulista de Medicina da Universidade Federal de São Paulo (UNIFESP-EPM)São PauloBrazil
  3. 3.Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Faculdade de MedicinaUniversidade de São Paulo (USP)São PauloBrazil
  4. 4.Universidade Santo Amaro (UNISA)São PauloBrasil

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