Oncofertility pp 413-428 | Cite as

The Fertility-Related Treatment Choices of Cancer Patients: Cancer-Related Infertility and Family Dynamics

  • Karrie Ann Snyder
  • May Kyaw Thazin
  • William B. Pearse
  • Mehwish Moinuddin
Part of the Cancer Treatment and Research book series (CTAR, volume 156)


Cancer does not just affect the person battling the disease, but the patient’s family as well. Cancer can impact a broad range of family relationships from sexual relations with a partner to how someone parents their child. Family members are also often involved in the treatment decisions that someone with cancer makes, such as showing support for a particular medical decision [1] or even being the primary decision maker [2, 3]. The role that a family member plays in the decision-making process is contingent upon many factors including the age of the patient, their relationship to the cancer patient (e.g., parent vs. child), the patient’s own desires [4], prior family dynamics [4, 5], and cultural and community norms [2, 3]. Family members can be involved in many decisions directly related to an individual’s cancer battle including which treatment option to choose (e.g., lumpectomy or mastectomy) [6], whether or not to pursue alternative treatments [7], and end-of-life care [8].


Breast Cancer Family Relationship Foster Parent Biological Child Married Mother 



This research was supported by the Oncofertility Consortium NIH 8UL1DE019587, 5RL1HD058296.


  1. 1.
    Reust CE, Mattingly S. Family involvement in medical decision making. Fam Med. 1996; 28:39–45.PubMedGoogle Scholar
  2. 2.
    Maly R, Umezawa Y, Ratliff C, Leake B. Racial/ethnic group difference in treatment decision-making and treatment received among older breast carcinoma patients. CA Cancer J Clin. 2006; 106:957–65.Google Scholar
  3. 3.
    Back M, Huak CY. Family centered decision making and non-disclosure of diagnosis. Psycho Onocology. 2005; 14:1052–9.CrossRefGoogle Scholar
  4. 4.
    Weber K, Solomon DH. The role of family in medical treatment decisions: a qualitative study of breast cancer survivors. Paper presented at the annual meeting of the NCA 94th Annual Convention. 2009; San Diego, CA.Google Scholar
  5. 5.
    Kramer BJ, Kavanaugh M, Trentham A, Walsh M, Yonker JA. Predictors of family conflict at the end of life: the experience of spouses and adult children of persons with lung cancer. Gerontologist. 2010; 50(2):215–25. (Advanced online version, August 11, 2009, doi:10.1093/geront/gnp121).Google Scholar
  6. 6.
    Whelan T, Levin M, Gafni A, Sander K, Wilan A, Mirsky D, Schnider D, McCready D, Reid S, Kobylecky A, Reed K. Mastectomy or lumpectomy? Helping women make informed choices. J Clin Oncol. 2009; 17:1727–35.Google Scholar
  7. 7.
    Ohlen J, Balneaves L, Bottorff J, Brzaier A. The influence of significant others in complementary and alternative medicine decisions by cancer patients. Soc Sci Med. 2006; 63:1625–36.PubMedCrossRefGoogle Scholar
  8. 8.
    Haley W, Allen R, Reynolds S, Chen H, Burton A, Gallagher-Thompson D. Family issues in end-of-life decision making and end-of-life care. Am Behav Sci. 2002; 46:284–98.CrossRefGoogle Scholar
  9. 9.
    Woodruff TK. The emergence of a new interdiscipline: oncofertility. In: Woodruff TK, Snyder KA, Eds. Oncofertility: fertility preservation for cancer survivors. New York: Springer; 2007:3–11.CrossRefGoogle Scholar
  10. 10.
    Anders C, Johnson R, Litton J, Phillips M, Bleyer A. Breast cancer before age 40 years. Semin Oncol. 2009; 36:237–49.PubMedCrossRefGoogle Scholar
  11. 11.
    Anders C, Hsu D. Young age at diagnosis correlates with worse prognosis and defines a subset of breast cancers with shared patterns of gene expression. J Clin Oncol. 2008; 26:3324–30.PubMedCrossRefGoogle Scholar
  12. 12.
    Jeruss JS, Woodruff TK. Preservation of fertility in patients with cancer. NEJM. 2009; 360:902–11.PubMedCrossRefGoogle Scholar
  13. 13.
    Peate M, Meiser B, Hickey M, Friedlander M. The fertility-related concerns, needs and preferences of younger women with breast cancer: a systematic review. Breast Canc Res Treat. 2009; 116:215–23.CrossRefGoogle Scholar
  14. 14.
    Lee SJ, Schover LR, Patridge AH, Patrizio P, Wallace WH, Hagerty K, Beck LN, Brennan LV, Oktay K. American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. J Clin Oncol. 2006; 24:2917–31.PubMedCrossRefGoogle Scholar
  15. 15.
    Strauss A, Corbin J. Grounded theory methodology: an overview. In: Denzin NK, Lincoln YS, Eds. Strategies of qualitative inquiry. Thousand Oaks: Sage; 1998:158–83.Google Scholar
  16. 16.
    Arnett J. Emerging adulthood: the winding road from the late teens through the twenties. New York: Oxford; 2006.Google Scholar
  17. 17.
    Manne S, Ostroff J, Sherman M, Glassman M, Ross S, Goldstein L, Fox K. Buffering effects of family and friend support on associations between partner unsupportive behaviors and coping among women with breast cancer. J Soc Pers Relat. 2003; 20:771–92.CrossRefGoogle Scholar
  18. 18.
    Zhang A, Siminoff L. The role of the family in treatment decision making by patients with cancer. Oncol Nurs Forum. 2003; 30:1022–8.PubMedCrossRefGoogle Scholar
  19. 19.
    Dead JM, Leinster SJ, Ownes RG, Dewey ME, Slade PD. Taking responsibility for cancer treatment. Soc Sci Med. 2001; 53:669–77.CrossRefGoogle Scholar
  20. 20.
    Lantz PM, Janz NK, Fagerlin A, Schwartz K, Liu L, Lakhani I, et al. Satisfaction with surgery outcomes and the decision process in a population-based sample of women with breast cancer. Health Serv Res. 2005; 40:745–68.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Karrie Ann Snyder
    • 1
  • May Kyaw Thazin
    • 2
  • William B. Pearse
    • 3
  • Mehwish Moinuddin
    • 1
  1. 1.Department of SociologyNorthwestern UniversityEvanstonUSA
  2. 2.Northwestern UniversityChicagoUSA
  3. 3.Department of Biological SciencesNorthwestern UniversityChicagoUSA

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