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.
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.
Authors: J Byrne; T R Fears; M H Gail; D Pee; R R Connelly; D F Austin; G F Holmes; F F Holmes; H B Latourette; J W Meigs Journal: Am J Obstet Gynecol Date: 1992-03 Impact factor: 8.661
Authors: Jessica R Gorman; Vanessa L Malcarne; Scott C Roesch; Lisa Madlensky; John P Pierce Journal: Breast Cancer Res Treat Date: 2010-02-04 Impact factor: 4.872
Authors: Daniel M Green; Toana Kawashima; Marilyn Stovall; Wendy Leisenring; Charles A Sklar; Ann C Mertens; Sarah S Donaldson; Julianne Byrne; Leslie L Robison Journal: J Clin Oncol Date: 2009-04-13 Impact factor: 44.544
Authors: Kathryn J Ruddy; Shari I Gelber; Rulla M Tamimi; Elizabeth S Ginsburg; Lidia Schapira; Steven E Come; Virginia F Borges; Meghan E Meyer; Ann H Partridge Journal: J Clin Oncol Date: 2014-02-24 Impact factor: 44.544
Authors: Alex W K Wong; Ting-Ting Chang; Katrina Christopher; Stephen C L Lau; Lynda K Beaupin; Brad Love; Kim L Lipsey; Michael Feuerstein Journal: J Cancer Surviv Date: 2017-03-29 Impact factor: 4.442
Authors: H Irene Su; Shaylyn Stark; Brian Kwan; Sarah Boles; Diana Chingos; Jennifer Ehren; Jessica R Gorman; Michael Krychman; Sally A D Romero; Jun J Mao; John P Pierce; Loki Natarajan Journal: Breast Cancer Res Treat Date: 2019-05-03 Impact factor: 4.872
Authors: Jessica R Gorman; Brian W Whitcomb; Daniel Standridge; Vanessa L Malcarne; Sally A D Romero; Samantha A Roberts; H Irene Su Journal: J Cancer Surviv Date: 2016-09-30 Impact factor: 4.442
Authors: Katie Young; Ksenya Shliakhtsitsava; Loki Natarajan; Emily Myers; Andrew C Dietz; Jessica R Gorman; María Elena Martínez; Brian W Whitcomb; H Irene Su Journal: Cancer Date: 2018-11-29 Impact factor: 6.860
Authors: Ann H Partridge; Kathryn J Ruddy; William T Barry; Mary L Greaney; Jennifer A Ligibel; Kim M Sprunck-Harrild; Shoshana M Rosenberg; Emily L Baker; J Russell Hoverman; Karen M Emmons Journal: Cancer Date: 2019-02-01 Impact factor: 6.860