Patient Provider Communication and Reproductive Health

  • Caprice A. Knapp
  • Gwendolyn P. Quinn
  • Deborah Rapalo
  • Lindsey Woodworth
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 732)


The prevalence among youth aged 15–19 ever having sexual intercourse has decreased from 1991–2007. However, the 2007 Youth Risk Behavior Surveillance Survey (YRBS) of AYA in the United States reports 48% of this population has had sexual intercourse [1]. Along with these rates of sexual activity, 28% of adolescents who have requested pregnancy tests at local health departments had already used a home pregnancy test [2]. Considering these high rates of sexual activity in teens in conjunction with the public health risk of adolescent pregnancies [3] and sexually transmitted infections (STIs) [4], the American Academy of Pediatrics (AAP) and the American Congress of Obstetricians and Gynecologists (ACOG) provide professional guidelines stressing the responsibility of health professionals to offer comprehensive reproductive health services such as sex education, counseling, and contraceptive awareness [5, 6]. These guidelines are consistent with research that sex education results in lower rates of sexual activity, increased contraceptive use, and fewer adolescent pregnancies [7, 8].


Sexually Transmit Infection National Comprehensive Cancer Network Fertility Preservation Adolescent Pregnancy Pregnancy Prevention 
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  1. 1.
    Center for Disease Control and Prevention (2008) Youth risk behavior surveillance – United States, 2007. Surveill Summ MMWR (57):NO.SS–4Google Scholar
  2. 2.
    Zabin LS, Emerson MR, Ringers PA, Sedivy V (1996) Adolescents with negative pregnancy test results: an accessible at-risk group. J Am Med Assoc 275(2):113–117CrossRefGoogle Scholar
  3. 3.
    Committee on Adolescence (1998) Adolescent pregnancy–current trends and issues. Pediatrics 103(2):516–520CrossRefGoogle Scholar
  4. 4.
    Bunnell Rebecca E, Dahlberg L, Rolfs R et al (1999) High Prevalence And Incidence Of Sexually Transmitted Diseases In Urban Adolescent Females Despite Moderate Risk Behaviors. J Infect Dis 180(5):1624–1631CrossRefGoogle Scholar
  5. 5.
    American College of Obstetricians and Gynecologists (ACOG) (2006) Use of hormonal contraception in women with coexisting medical conditions. American College of Obstetricians and Gynecologists (ACOG), Washington, DC, 20 p. (ACOG practice bulletin; no. 73).Google Scholar
  6. 6.
    Committee on Adolescence (2007) Contraception and adolescents. Pediatrics 120(5):1135–1148CrossRefGoogle Scholar
  7. 7.
    Kirby DB, Laris BA, Rolleri LA (2007) Sex and HIV education programs: their impact on sexual behaviors of young people throughout the world. J Adolesc Health 40(3):206–217PubMedCrossRefGoogle Scholar
  8. 8.
    Kohler R, Manhart L, Lafferty W (2008) Abstinence-only and comprehensive sex education and the initiation of sexual activity and teen pregnancy. J Adolesc Health 42:344–351PubMedCrossRefGoogle Scholar
  9. 9.
    Ries LAG, Smith MA, Gurney JG, Linet M, Tamra T, Young JL, Bunin GR (eds) (1999) Cancer incidence and survival among children and adolescents: United States SEER Program 1975–1995, National Cancer Institute, SEER Program. NIH Pub. No. 99-4649. Bethesda, MD, pp 157–164.Google Scholar
  10. 10.
    Tyc VL, Hadley W, Crockett G (2001) Prediction of health behaviors in pediatric cancer survivors. Med Pediatr Oncol 37(1):42–46PubMedCrossRefGoogle Scholar
  11. 11.
    Alderman EM, Lauby J, Coupey SM (1992) High risk behaviors in urban adolescents with chronic illness. J Adolesc Health 13(1):55–55CrossRefGoogle Scholar
  12. 12.
    Surís J-C, Resnick MD, Cassuto N, Blum RWM (1996) Sexual behavior of adolescents with chronic disease and disability. J Adolesc Health 19(2):124–131PubMedCrossRefGoogle Scholar
  13. 13.
    Choquet M, Du Pasquier Fediaevsky L, Manfredi R (1997) Sexual behavior among adolescents reporting chronic conditions: a French national survey. J Adolesc Health 20(1):62–67PubMedCrossRefGoogle Scholar
  14. 14.
    Valle J, Clemons M, Hayes S, Fallowfield L, Howell A (1998) Contraceptive use by women receiving chemotherapy for breast cancer. Breast 7(3):143–149CrossRefGoogle Scholar
  15. 15.
    Thranov I, Klee M (1994) Sexuality among gynecologic cancer patients–a cross-sectional study. Gynecol Oncol 52(1):14–19PubMedCrossRefGoogle Scholar
  16. 16.
    Byrne J, Mulvihill J, Myers M et al (1987) Effects of treatment on fertility in long-term survivors of childhood or adolescent cancer. N Engl J Med 317(21):1315–1321PubMedCrossRefGoogle Scholar
  17. 17.
    Grinyer A (2002) Sexuality and fertility: confronting the taboo. In: Clarke D (ed) Cancer in young adults: through parent’s eyes. Open University Press, Buckingham-Philadelphia, pp 61–75Google Scholar
  18. 18.
    Laurence V, Gbolade BA, Morgan SJ, Glaser A (2004) Contraception for teenagers and young adults with cancer. Eur J Cancer 40(18):2705–2716PubMedCrossRefGoogle Scholar
  19. 19.
    Chapman R (1992) Gonadal toxicity and teratogenicity. In: Perry MC (ed) The chemotherapy soource book. Williams & Wilkins, BaltimoreGoogle Scholar
  20. 20.
    Doll D, Ringenberg Q, Yarbro J (1989) Antineoplastic agents and pregnancy. Semin Oncol 16:337–346PubMedGoogle Scholar
  21. 21.
    Kalter H, Warkany J (1983) Congenital malformations. N Engl J Med 308(424–431):491–497PubMedCrossRefGoogle Scholar
  22. 22.
    Doll DC, Ringenberg QS, Yarbro JW (1988) Management of cancer during pregnancy. Arch Intern Med 148(9):2058–2064PubMedCrossRefGoogle Scholar
  23. 23.
    Polaneczky M, O’Connor K (1999) Pregnancy in the adolescent patient: screening, diagnosis, and initial management. Pediatr Clin North Am 46(4):649–670PubMedCrossRefGoogle Scholar
  24. 24.
    Heiney SP (1989) Adolescents with cancer: sexual and reproductive issues. Cancer Nurs 12(2):95–101PubMedCrossRefGoogle Scholar
  25. 25.
    American Congress of Obstetrics and Gynecology: Birth Control Especially for Teens. 2007: Committee on Patient Education of the American College of Obstetricians and Gynecologists; Washington DC [Brochure].; %20 Accessed 15 Apr 2010
  26. 26.
    National Cancer Institute: Sexual and Fertility Changes in Women (2008) Managing chemotherapy side effects; [Brochure]. Accessed 15 Apr 2010
  27. 27.
    Quinn GP, Vadaparampil ST (2009) Fertility preservation and adolescent/young adult cancer patients: physician communication challenges. J Adolesc Health 44(4):394–400PubMedCrossRefGoogle Scholar
  28. 28.
    Mitchell AA, Van Bennekom CM, Louik C (1995) A pregnancy-prevention program in women of childbearing age receiving isotretinoin. N Engl J Med 333(2):101–106PubMedCrossRefGoogle Scholar
  29. 29.
    Schover L (1999) Counseling cancer patients about changes in sexual function. Oncology 13(11):1585–1591PubMedGoogle Scholar
  30. 30.
    Multidisciplinary working group British Fertility Society. A strategy for fertility service for survivors of childhood cancer. Accessed from
  31. 31.
    European Society of Human Reproduction and Embryology (2011) Medically assisted reproduction within families: a position paper by the European Society of Human Reproduction and Embryology. Accessed from
  32. 32.
    Goodwin T, Elizabeth Oosterhuis B, Kiernan M, Hudson MM, Dahl GV (2007) Attitudes and practices of pediatric oncology providers regarding fertility issues. Pediatr Blood Cancer 48:80–85. doi:10.1002/pbc.20814PubMedCrossRefGoogle Scholar
  33. 33.
    Zapzalka DM, Redmon JB, Pryor JL (1999) A survey of oncologists regarding sperm cryopreservation and assisted reproductive techniques for male cancer patients. Cancer 86:1812–1817PubMedCrossRefGoogle Scholar
  34. 34.
    Schover LR, Brey K, Lichtin A et al (2002) Oncologists’ attitudes and practices regarding banking sperm before cancer treatment. J Clin Oncol 20:1890–1897PubMedCrossRefGoogle Scholar
  35. 35.
    Clayton H, Quinn G, Lee J-H et al (2008) Trends in clinical practice and nurses’ attitudes about fertility preservation for pediatric patients with cancer. Oncol Nurs Forum 35(2):249–255PubMedCrossRefGoogle Scholar
  36. 36.
    Quinn GP, Vadaparampil ST, Lee J-H et al (2009) Physician referral for fertility preservation in oncology patients: a national study of practice behaviors. J Clin Oncol 27(35):5952–5957PubMedCrossRefGoogle Scholar
  37. 37.
    Lee SJ, Schrover SR, Patridge AH et al (2006) American Society of clinical oncology recommendations on fertility preservation in cancer patients. J Clin Oncol 24(18):2917–2831PubMedCrossRefGoogle Scholar
  38. 38.
    American Society of Clinical Oncology (2010) The quality of oncology practice initiative summary of measures, Fall 2010. Accessed from
  39. 39.
  40. 40.
    Tschudin S, Bitzer J (2009) Pyschological aspects of fertility preservation in men and women affected by cancer and other life threatening diseases. Hum Reprod 15(5):587–597CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2012

Authors and Affiliations

  • Caprice A. Knapp
    • 1
  • Gwendolyn P. Quinn
    • 2
  • Deborah Rapalo
    • 1
  • Lindsey Woodworth
    • 1
  1. 1.Department of Health Outcomes and PolicyUniversity of FloridaGainesvilleUSA
  2. 2.Moffitt Cancer Center, College of Medicine, University of South FloridaTampaUSA

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