Attitudes toward fertility preservation in female cancer patients

Abstract

Objective: To survey patient attitudes toward fertility preservation techniques in the case of infertility from cancer treatment.

Study design: A cross-sectional survey on adolescent cancer patients (ACPs) aged 15-21 years and their parents, as well as on breast cancer patients (BCPs).

Results: A total of 69% of ACPs were aware of the problem of infertility. However, only 31% recalled being spoken to about treatment effects on fertility. Parents were significantly more likely to have been spoken to (58% vs. 31%, p < 0.022) and tended to be more interested in fertility preservation. The groups were in agreement that cancer therapy should not be delayed. Of the BCPs, 67% expressed substantial concern regarding infertility. They were more likely to have been spoken to and tended to be younger and nulliparous, although statistical significance was not reached. Again, most were unwilling to delay therapy.

Conclusion: There is an interest infertility preservation amongst our patients, but the medical information received may influence, to a certain extent, the attitudes of the patients. Greater emphasis should therefore be placed on counseling the patient during the treatment planning process.