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How do you feel about fertility and parenthood? The voices of young female cancer survivors

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Abstract

Purpose

Young adult cancer survivors are often unaware of their fertility status and uninformed regarding their fertility and fertility preservation options. This qualitative research study explores the fertility and parenthood concerns of reproductive-age female cancer survivors and how they make parenthood decisions.

Methods

Population- and clinic-based recruitment methods were used to identify a diverse group of survivors between the ages of 18 and 34 years. Our final sample size included 22 participants who attended one of seven focus groups. We used cross-case, inductive analysis to identify themes.

Results

The following main themes were identified: (1) A hopeful but worried approach to fertility and parenthood, (2) Frustration with a lack of choice or control over fertility, (3) Young survivors want information about their fertility, (4) Young survivors want better continuity of care in survivorship, (5) Cancer diagnosis and related fertility problems introduce relationship challenges, and (6) Decisions about parenthood are complicated.

Conclusions

The diverse group of young cancer survivors in this study identified several common needs and concerns regarding fertility and parenthood. This study illustrates that young survivors could benefit from improved information regarding their fertility and parenthood options throughout survivorship, better coordination of medical care, and support navigating many emotional and practical issues that arise when considering their reproductive and parenthood options.

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References

  1. Bleyer A, et al., editors. Cancer Epidemiology in Older Adolescents and Young Adults 15 to 29 Years of Age, Including SEER Incidence and Survival: 1975–2000. NIH Publication No. 06-5767. Bethesda: National Cancer Institute; 2006.

    Google Scholar 

  2. Howlander N et al., editors. SEER Cancer Statistics Review, 1975–2008. Bethesda, MD: National Cancer Institute. http://seer.cancer.gov/csr/1975_2008/, based on November 2010 SEER data submission, posted to the SEER web site, 2011.

  3. Pivetta E, et al. Marriage and parenthood among childhood cancer survivors: a report from the Italian AIEOP Off-Therapy Registry. Haematologica. 2011;96(5):744–51.

    Article  PubMed  Google Scholar 

  4. Syse A, Kravdal O, Tretli S. Parenthood after cancer—a population-based study. Psychooncology. 2007;16(10):920–7.

    Article  PubMed  Google Scholar 

  5. Green DM, et al. Fertility of female survivors of childhood cancer: a report from the childhood cancer survivor study. J Clin Oncol. 2009;27(16):2677–85.

    Article  PubMed  CAS  Google Scholar 

  6. Bines J, Oleske DM, Cobleigh MA. Ovarian function in premenopausal women treated with adjuvant chemotherapy for breast cancer. J Clin Oncol. 1996;14(5):1718–29.

    PubMed  CAS  Google Scholar 

  7. Goodwin PJ, et al. Risk of menopause during the first year after breast cancer diagnosis. J Clin Oncol. 1999;17(8):2365–70.

    PubMed  CAS  Google Scholar 

  8. Zebrack BJ, et al. Fertility issues for young adult survivors of childhood cancer. Psychooncology. 2004;13(10):689–99.

    Article  PubMed  Google Scholar 

  9. Su HI. Measuring ovarian function in young cancer survivors. Minerva Endocrinol. 2010;35(4):259–70.

    PubMed  CAS  Google Scholar 

  10. Dunn J, Steginga SK. Young women’s experience of breast cancer: defining young and identifying concerns. Psychooncology. 2000;9(2):137–46.

    Article  PubMed  CAS  Google Scholar 

  11. Schover LR. Psychosocial aspects of infertility and decisions about reproduction in young cancer survivors: a review. Med Pediatr Oncol. 1999;33(1):53–9.

    Article  PubMed  CAS  Google Scholar 

  12. Thewes B, et al. Fertility- and menopause-related information needs of younger women with a diagnosis of early breast cancer. J Clin Oncol. 2005;23(22):5155–65.

    Article  PubMed  CAS  Google Scholar 

  13. Gorman JR, et al. Young breast cancer survivors: their perspectives on treatment decisions and fertility concerns. Cancer Nurs. 2011;34(1):32–40.

    Article  PubMed  Google Scholar 

  14. Zebrack B. Information and service needs for young adult cancer patients. Support Care Cancer. 2008;16(12):1353–60.

    Article  PubMed  Google Scholar 

  15. Partridge A, et al. Web-based survey of fertility issues in young women with breast cancer. J Clin Oncol. 2004;22(20):4174–83.

    Article  PubMed  Google Scholar 

  16. Canada AL, Schover LR. The psychosocial impact of interrupted childbearing in long-term female cancer survivors. Psychooncology. 2011. doi:10.1002/pon.1875.

  17. Gorman JR, et al. Depressive symptoms among young breast cancer survivors: the importance of reproductive concerns. Breast Cancer Res Treat. 2010;123(2):477–85.

    Article  PubMed  Google Scholar 

  18. Wenzel L, et al. Defining and measuring reproductive concerns of female cancer survivors. J Natl Cancer Inst Monogr. 2005;34:94–8.

    Article  PubMed  Google Scholar 

  19. Crawshaw MA, et al. Male and female experiences of having fertility matters raised alongside a cancer diagnosis during the teenage and young adult years. Eur J Cancer Care (Engl). 2009;18(4):381–90.

    Article  CAS  Google Scholar 

  20. Hammond CT, et al. Non-Hodgkin’s lymphoma survivors’ fertility and sexual function-related information needs. Fertil Steril. 2008;90(4):1256–8.

    Article  PubMed  Google Scholar 

  21. Mitchell W, Clarke S, Sloper P. Care and support needs of children and young people with cancer and their parents. Psychooncology. 2006;15(9):805–16.

    Article  PubMed  Google Scholar 

  22. Closing the gap: research and care imperatives for adolescents and young adults with cancer. A Report of the Adolescent and Young Adult Oncology Progress Review Group. NIH Publication No. 06-6067; 2006. Bethesda, MD: National Cancer Institute.

  23. Magelssen H, et al. Parenthood probability and pregnancy outcome in patients with a cancer diagnosis during adolescence and young adulthood. Hum Reprod. 2008;23(1):178–86.

    Article  PubMed  CAS  Google Scholar 

  24. Cvancarova M, et al. Reproduction rates after cancer treatment: experience from the Norwegian Radium Hospital. J Clin Oncol. 2009;27(3):334–43.

    Article  PubMed  Google Scholar 

  25. Schover LR. Rates of postcancer parenthood. J Clin Oncol. 2009;27(3):321–2.

    Article  PubMed  Google Scholar 

  26. Patton MQ, Patton MQ. Qualitative evaluation and research methods. 2nd ed. Newbury Park: Sage; 1990. 532 pp.

    Google Scholar 

  27. Ulin PR, Robinson ET, Tolley EE. Qualitative methods in public health: a field guide for applied research. 1st ed. San Francisco: Jossey-Bass; 2005. p. xxii, 318.

    Google Scholar 

  28. NVivo qualitative data analysis software; QSR International Pty Ltd. Version 9; 2008.

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

    Article  PubMed  Google Scholar 

  30. Quinn GP, Vadaparampil ST. Fertility preservation and adolescent/young adult cancer patients: physician communication challenges. J Adolesc Health. 2009;44(4):394–400.

    Article  PubMed  Google Scholar 

  31. Byrne J, et al. Early menopause in long-term survivors of cancer during adolescence. Am J Obstet Gynecol. 1992;166(3):788–93.

    PubMed  CAS  Google Scholar 

  32. Freyer DR. Transition of care for young adult survivors of childhood and adolescent cancer: rationale and approaches. J Clin Oncol. 2010;28(32):4810–8.

    Article  PubMed  Google Scholar 

  33. Hewitt M, Greenflield S, Stovall E, editors. From cancer patient to cancer survivor: lost in transition. Committee on Cancer Survivorship: Improving Care and Quality of Life, Institute of Medicine and National Research Council; 2006.

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Acknowledgments

This study was supported by a Postdoctoral Fellowship (120500-PFT-11-008-01-CPPB) and Moores UCSD Cancer Center Institutional Research Grant (70-002) from the American Cancer Society.

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Authors and Affiliations

  1. Cancer Prevention and Control Program, Moores UCSD Cancer Center, University of California, San Diego, La Jolla, CA, USA

    Jessica R. Gorman, Samantha Bailey & John P. Pierce

  2. Department of Reproductive Medicine and Cancer Prevention and Control Program, Moores UCSD Cancer Center, University of California, San Diego, La Jolla, CA, 92093-0901, USA

    H. Irene Su

Authors
  1. Jessica R. Gorman
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  2. Samantha Bailey
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  3. John P. Pierce
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  4. H. Irene Su
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Correspondence to H. Irene Su.

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Gorman, J.R., Bailey, S., Pierce, J.P. et al. How do you feel about fertility and parenthood? The voices of young female cancer survivors. J Cancer Surviv 6, 200–209 (2012). https://doi.org/10.1007/s11764-011-0211-9

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  • DOI: https://doi.org/10.1007/s11764-011-0211-9

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