Abstract
With advances in cancer treatment, increasing numbers of patients are becoming long-term survivors. A concomitant interest in quality of life for cancer survivors has developed. For patients of childbearing age, reproductive capacity and the ability to build a family is a significant survivorship concern [1–3]. Unfortunately, many cancer treatments compromise fertility, reducing the likelihood that these men and women will be able to conceive or carry children naturally. Infertility can impact self-esteem, identity, and body image; complicate intimate relationships; devastate plans for parenthood; and cause significant, on-going distress [3–6].
When first diagnosed with cancer, patients suddenly face a million choices and are asked to make decisions that may have a life-long impact. That moment came for us in June 2006 when Ruth was diagnosed with Ewing’s Sarcoma, a month before her 29th birthday. At our first appointment Ruth’s oncologist told us that infertility was a possible side-effect of the chemotherapy regimen and asked if we needed to incorporate that concern into her treatment plan. Since we had hoped to start a family soon, we greatly appreciated the question and sensitivity.
We successfully banked embryos and Ruth was able to start treatment on schedule. We were fortunate. At every stage of the process our medical professionals were aware of options that could help us as a young couple facing cancer together. Over the past ten months of Ruth’s treatment, we have met or heard of other young adults whose stories tell of how unique our fertility experience has been and how much work there still is to do.
We take real comfort in knowing that when we are ready to start a family, we still have options.
Parker, Husband of Adult Cancer Survivor
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Schover LR, Rybicki LA, Martin BA, Bringelsen KA (1999) Having children after cancer. A pilot survey of survivors’ attitudes and experiences. Cancer 86(4):697–709
Schover LR (2005) Motivation for parenthood after cancer: a review. J Natl Cancer Inst Monogr (34):2–5
Schover LR, Brey K, Lichtin A, Lipshultz LI, Jeha S (2002) Knowledge and experience regarding cancer, infertility, and sperm banking in younger male survivors. J Clin Oncol 20(7):1880–1889
Schover LR (1999) Psychosocial aspects of infertility and decisions about reproduction in young cancer survivors: a review. Med Pediatr Oncol 33(1):53–59
Crawshaw M, Sloper P (2010) ‘Swimming against the tide’– the influence of fertility matters on the transition to adulthood or survivorship following adolescent cancer. Eur J Cancer Care 19(5):610–620
Tschudin S, Bitzer J (2009) Psychological aspects of fertility preservation in men and women affected by cancer and other life-threatening diseases. Hum Reprod Update 15(5):587–597
Lee SJ, Schover LR, Partridge AH, Patrizio P, Wallace WH, Hagerty K et al (2006) American Society of clinical oncology recommendations on fertility preservation in cancer patients. J Clin Oncol 24(18):2917–2931
Pentheroudakis G, Orecchia R, Hoekstra HJ, Pavlidis N, Group ObotEG W (2010) Cancer, fertility and pregnancy: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 21(Suppl 5):v266–v73
ASRM (2005) Fertility preservation and reproduction in cancer patients. Fertil Steril 83(6):1622–1628. doi: 10.1016/j.fertnstert.2005.03.013
Fallat ME, Hutter J, the Committee on Bioethics SoHO, Section on Surgery (2008) Preservation of fertility in pediatric and adolescent patients with cancer. Pediatrics 121(5):e1461–9
Crawshaw MA, Glaser AW, Hale JP, Sloper P (2009) Male and female experiences of having fertility matters raised alongside a cancer diagnosis during the teenage and young adult years. Eur J Cancer Care 18(4):381–390
Thewes B, Meiser B, Taylor A, Phillips KA, Pendlebury S, Capp A et al (2005) Fertility- and menopause-related information needs of younger women with a diagnosis of early breast cancer. J Clin Oncol 23(22):5155–5165
Peate M, Meiser B, Hickey M, Friedlander M (2009) The fertility-related concerns, needs and preferences of younger women with breast cancer: a systematic review. Breast Cancer Res Treat 116(2):215–223
Meneses K, McNees P, Azuero A, Jukkala A (2010) Development of the fertility and cancer project: an internet approach to help young cancer survivors. Oncol Nurs Forum 37(2):191–197. doi: 10.1188/10.ONF.191–197
Achille MA, Rosberger Z, Robitaille R, Lebel S, Gouin J-P, Bultz BD et al (2006) Facilitators and obstacles to sperm banking in young men receiving gonadotoxic chemotherapy for cancer: the perspective of survivors and health care professionals. Hum Reprod 21(12):3206–3216
Crawshaw M, Glaser A, Hale J, Sloper P (2009) Male and female experiences of having fertility matters raised alongside a cancer diagnosis during the teenage and young adult years. Eur J Cancer Care 18(4):381–390
President’s Cancer Panel (2003–2004) Annual report: living beyond cancer: finding a new balance. Bethesda, MD.: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute, p vi, 87 p
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Science+Business Media B.V.
About this chapter
Cite this chapter
Kelvin, J.F., Reinecke, J. (2012). Institutional Approaches to Implementing Fertility Preservation for Cancer Patients. In: Quinn, G., Vadaparampil, S. (eds) Reproductive Health and Cancer in Adolescents and Young Adults. Advances in Experimental Medicine and Biology, vol 732. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-2492-1_13
Download citation
DOI: https://doi.org/10.1007/978-94-007-2492-1_13
Published:
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-007-2491-4
Online ISBN: 978-94-007-2492-1
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)