Incorporating Partners and Spouses in Oncofertility Communication

  • Megan Johnson Shen
  • Hoda BadrEmail author


As couples in which one partner has cancer face decisions regarding fertility preservation and potential future infertility, oncofertility communication is crucial. The new yet rapidly growing area of oncofertility communication research, however, has focused largely on how to involve physicians, adult patients, and parents of adolescents and children with cancer diagnoses into oncofertility discussions. Little to no research has examined the need to involve partners in oncofertility communication. This chapter serves to both review the relevant research on couples’ issues related to fertility preservation and infertility and highlight the need for more research and clinical interventions in this area. Because couples bring with them a unique set of issues to the topic of fertility preservation and potential infertility in cancer patients, research is needed which focuses on the impact of fertility preservation decisions and potential infertility on the couple’s relationship. Such research not only could lead to couple-based interventions that actively involve partners in oncofertility discussions but could also potentially improve couples’ communication, marital and sexual satisfaction, and intimacy. We hope this chapter serves as a springboard to advance the new but quickly growing field of oncofertility.


Sexual Satisfaction Marital Satisfaction Fertility Preservation Oocyte Cryopreservation Fertility Issue 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Dr. Shen’s work on this project was supported by a cancer prevention fellowship from the National Cancer Institute (5R25CA081137, Guy Montgomery, Ph.D., Principal Investigator) and by the Oncofertility Consortium NIH 5UL1DE019587.


  1. 1.
    Mersereau J. Communication between oncofertility providers and patients. In: Gracia C, Woodruff TK, editors. Oncofertility Medical Practice. New York: Springer; 2012. pp. 149–160. Available at: Accessed 3 Dec 2012.Google Scholar
  2. 2.
    Schover LR, Rybicki LA, Martin BA, Bringelsen KA. Having children after cancer. Cancer. 1999;86(4):697–709.PubMedCrossRefGoogle Scholar
  3. 3.
    Connell S, Patterson C, Newman B. Issues and concerns of young Australian women with breast cancer. Support Care Cancer. 2006;14(5):419–26.PubMedCrossRefGoogle Scholar
  4. 4.
    Fallowfield L, McGurk R, Dixon M. Same gain, less pain: potential patient preferences for adjuvant treatment in premenopausal women with early breast cancer. Eur J Cancer. 2004;40(16):2403–10.PubMedCrossRefGoogle Scholar
  5. 5.
    Partridge AH, Gelber S, Peppercorn J, et al. Web-based survey of fertility issues in young women with breast cancer. J Clin Oncol. 2004;22(20):4174–83.PubMedCrossRefGoogle Scholar
  6. 6.
    Saito K, Suzuki K, Iwasaki A, Yumura Y, Kubota Y. Sperm cryopreservation before cancer chemotherapy helps in the emotional battle against cancer. Cancer. 2005;104(3):521–4.PubMedCrossRefGoogle Scholar
  7. 7.
    Tschudin S, Bunting L, Abraham J, Gallop-Evans E, Fiander A, Boivin J. Correlates of fertility issues in an Internet survey of cancer survivors. J Psychosom Obstet Gynecol. 2010;31(3):150–7.CrossRefGoogle Scholar
  8. 8.
    Cousineau TM, Domar AD. Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol. 2007;21(2):293–308.PubMedCrossRefGoogle Scholar
  9. 9.
    Galvin KM, Clayman ML. Whose future is it? Ethical family decision making about daughters’ treatment in the oncofertility context. In: Woodruff TK, Zoloth L, Campo-Engelstein L, Rodriguez S, editors. Oncofertility. Cancer Treatment and Research. New York: Springer; 2010. pp. 429–445. Available at: Accessed 6 Dec 2012.Google Scholar
  10. 10.
    World Health Organization. Progress report in reproductive health research, No. 23. Geneva, Switzerland; 2003.Google Scholar
  11. 11.
    Greil AL. Infertility and psychological distress: a critical review of the literature. Soc Sci Med. 1997;45(11):1679–704.PubMedCrossRefGoogle Scholar
  12. 12.
    Schover LR. Psychosocial aspects of infertility and decisions about reproduction in young cancer survivors: a review. Med Pediatr Oncol. 1999;33(1):53–9.PubMedCrossRefGoogle Scholar
  13. 13.
    Heffner L. Advanced maternal age—how old is too old? N Engl J Med. 2004;351:1927–9.PubMedCrossRefGoogle Scholar
  14. 14.
    Andrews FM, Abbey A, Halman LJ. Stress from infertility, marriage factors, and subjective well-being of wives and husbands. J Health Soc Behav. 1991;32(3):238.PubMedCrossRefGoogle Scholar
  15. 15.
    Daniluk JC. Gender and infertility. In: Leiblum SR, editor. Infertility, psychological issues and counseling strategies. New York: John Wiley & Sons; 1997. p. 103–25.Google Scholar
  16. 16.
    Edelmann RJ, Humphrey M, Owens DJ. The meaning of parenthood and couples’ reactions to male infertility. Br J Med Psychol. 1994;67(3):291–9.PubMedCrossRefGoogle Scholar
  17. 17.
    Gritz ER, Wellisch DK, Wang H-J, Siau J, Landsverk JA, Cosgrove MD. Long-term effects of testicular cancer on sexual functioning in married couples. Cancer. 1989;64(7):1560–7.PubMedCrossRefGoogle Scholar
  18. 18.
    Jensen PT, Groenvold M, Klee MC, Thranov I, Petersen MA, Machin D. Longitudinal study of sexual function and vaginal changes after radiotherapy for cervical cancer. Int J Radiat Oncol Biol Phys. 2003;56(4):937–49.PubMedCrossRefGoogle Scholar
  19. 19.
    Badr H, Carmack Taylor CL. Sexual dysfunction and spousal communication in couples coping with prostate cancer. Psychooncology. 2009;18:735–46.PubMedCrossRefGoogle Scholar
  20. 20.
    Markman HJ, Renick MJ, Floyd FJ, Stanley SM, Clements M. Preventing marital distress through communication and conflict management training: a 4- and 5-year follow-up. J Consult Clin Psychol. 1993;61(1):70–7.PubMedCrossRefGoogle Scholar
  21. 21.
    Woodruff TK. The oncofertility consortium—addressing fertility in young people with cancer. Nat Rev Clin Oncol. 2010;7(8):466–75.PubMedCrossRefGoogle Scholar
  22. 22.
    Lee SJ, Schover LR, Partridge AH, et al. American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. J Clin Oncol. 2006;24(18):2917–31.PubMedCrossRefGoogle Scholar
  23. 23.
    Carter J, Rowland K, Chi D, et al. Gynecologic cancer treatment and the impact of cancer-related infertility. Gynecol Oncol. 2005;97(1):90–5.PubMedCrossRefGoogle Scholar
  24. 24.
    Patrizio P, Butts S, Caplan A. Ovarian tissue preservation and future fertility: emerging technologies and ethical considerations. J Natl Cancer Inst Monogr. 2005;2005(34):107–10.CrossRefGoogle Scholar
  25. 25.
    Tschudin S, Bitzer J. Psychological aspects of fertility preservation in men and women affected by cancer and other life-threatening diseases. Hum Reprod Update. 2009;15(5):587–97.PubMedCrossRefGoogle Scholar
  26. 26.
    Davison B, Goldenberg S, Gleave M, Degner L. Provision of individualized information to men and their partners to facilitate treatment decision making in prostate cancer. Oncol Nurs Forum. 2003;30(1):107–14.PubMedCrossRefGoogle Scholar
  27. 27.
    Domar AD, Seibel MM. Emotional aspects of infertility. In: Infertility: a comprehensive text. East Norwalk, CT: Appleton & Lange; 1990. p. 23–35.Google Scholar
  28. 28.
    Ethics Committee of the American Society for Reproductive Medicine. Fertility preservation and reproduction in cancer patients. Fertil Steril. 2005;83(6):1622–8.CrossRefGoogle Scholar
  29. 29.
    Noyes N, Porcu E, Borini A. Over 900 oocyte cryopreservation babies born with no apparent increase in congenital anomalies. Reprod Biomed Online. 2009;18(6):769–76.PubMedCrossRefGoogle Scholar
  30. 30.
    Shah DK, Goldman E, Fisseha S. Medical, ethical, and legal considerations in fertility preservation. Int J Gynecol Obstet. 2011;115(1):11–5.CrossRefGoogle Scholar
  31. 31.
    Robertson JA. Cancer and fertility: ethical and legal challenges. J Natl Cancer Inst Monogr. 2005;2005(34):104–6.CrossRefGoogle Scholar
  32. 32.
    Chian R-C, Huang JY, Tan SL, et al. Obstetric and perinatal outcome in 200 infants conceived from vitrified oocytes. Reprod Biomed Online. 2008;16(5):608–10.PubMedCrossRefGoogle Scholar
  33. 33.
    Manne S. Couples coping with cancer: research issues and recent findings. J Clin Psychol Med Settings. 1994;1(4):317–30.CrossRefGoogle Scholar
  34. 34.
    Gardino S, Rodriguez S, Campo-Engelstein L. Infertility, cancer, and changing gender norms. J Cancer Surviv. 2011;5(2):152–7.PubMedCrossRefGoogle Scholar
  35. 35.
    Taylor SE. Adjustment to threatening events: a theory of cognitive adaptation. Am Psychol. 1983;38(11):1161–73.CrossRefGoogle Scholar
  36. 36.
    Manne S, Badr H. Intimacy and relationship processes in couples’ psychosocial adaptation to cancer. Cancer. 2008;112(S11):2541–55.PubMedCrossRefGoogle Scholar
  37. 37.
    Badr H, Carmack CL, Milbury K, Temech M. Psychosocial interventions for couples coping with cancer: a systematic review. In: Carr BI, Steel J, editors. Psychological aspects of cancer. New York: Springer; 2012. p. 177–98.Google Scholar
  38. 38.
    Coyne JC, Smith DAF. Couples coping with a myocardial infarction: contextual perspective on patient self-efficacy. J Fam Psychol. 1994;8(1):43–54.CrossRefGoogle Scholar
  39. 39.
    Hagedoorn M, Kuijer RG, Buunk BP, Majella G, Wobbes T, Sanderman R. Marital satisfaction in patients with cancer: does support from intimate partners benefit those who need it most? Health Psychol. 2000;19(3):274–82.PubMedCrossRefGoogle Scholar
  40. 40.
    Heavey CL, Larson BM, Zumtobel DC, Christensen A. The communication patterns questionnaire: the reliability and validity of a constructive communication subscale. J Marriage Fam. 1996;58(3):796.CrossRefGoogle Scholar
  41. 41.
    Christensen A, Heavey CL. Gender and social structure in the demand/withdraw pattern of marital conflict. J Pers Soc Psychol. 1990;59(1):73–81.PubMedCrossRefGoogle Scholar
  42. 42.
    Christensen A, Shenk JL. Communication, conflict, and psychological distance in nondistressed, clinic, and divorcing couples. J Consult Clin Psychol. 1991;59(3):458–63.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioral SciencesMemorial Sloan-Kettering Cancer CenterNew YorkUSA
  2. 2.Department of Oncological SciencesMount Sinai School of MedicineNew YorkUSA

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