Skip to main content

Institutional Approaches to Implementing Fertility Preservation for Cancer Patients

  • Chapter
  • First Online:
Reproductive Health and Cancer in Adolescents and Young Adults

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

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. 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

    Article  PubMed  CAS  Google Scholar 

  2. Schover LR (2005) Motivation for parenthood after cancer: a review. J Natl Cancer Inst Monogr (34):2–5

    Google Scholar 

  3. 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

    Article  PubMed  Google Scholar 

  4. Schover LR (1999) Psychosocial aspects of infertility and decisions about reproduction in young cancer survivors: a review. Med Pediatr Oncol 33(1):53–59

    Article  PubMed  CAS  Google Scholar 

  5. 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

    Article  CAS  Google Scholar 

  6. 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

    Article  PubMed  Google Scholar 

  7. 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

    Article  PubMed  Google Scholar 

  8. 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

    Article  PubMed  Google Scholar 

  9. ASRM (2005) Fertility preservation and reproduction in cancer patients. Fertil Steril 83(6):1622–1628. doi: 10.1016/j.fertnstert.2005.03.013

    Article  Google Scholar 

  10. 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

    Article  PubMed  Google Scholar 

  11. 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

    Article  CAS  Google Scholar 

  12. 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

    Article  PubMed  CAS  Google Scholar 

  13. 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

    Google Scholar 

  14. 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

    Article  PubMed  Google Scholar 

  15. 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

    Article  PubMed  Google Scholar 

  16. 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

    Article  CAS  Google Scholar 

  17. 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

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joyce Reinecke JD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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

Publish with us

Policies and ethics