Cancer and fertility - young women speak up
January 10, 2012
Young female cancer survivors are concerned about their future fertility and parenthood options and want better information and guidance early on, according to a new study by Jessica Gorman and her team from the University of California in the US. Their paper, which presents in-depth information on young survivors' experiences navigating decisions about fertility and parenthood, is published online in Springer's Journal of Cancer Survivorship.
Many more adolescents and young adults are surviving their disease, resulting in a substantial and growing number of female cancer survivors of reproductive age. Young cancer survivors are less likely to have biological children than non-cancer survivors, mainly due to the effects of cancer treatments on future fertility. However, many are unaware of the impact of their treatment on their fertility, and understanding these young ladies' concerns is a first step towards developing effective, targeted interventions that will meet the needs of those who want to become parents.
The researchers explored the fertility and parenthood concerns of 22 American female cancer survivors, aged between 18 and 34 years. The young women, recruited from both clinics and community-based outreach projects, took part in focus groups.
The authors identified six themes from the discussions:
1. A hopeful but worried approach to fertility and parenthood: While participants expressed hope about having a family, many also felt anxious that they would be unable to have their own children.
2. Frustration with lack of choice or control over fertility: Even though the young women acknowledged that a discussion about fertility at the time of diagnosis would have been overwhelming, they felt strongly that they (or their parents) should have been told about both the impact of treatment on their fertility, and the options available before treatment to preserve fertility e.g. freezing eggs.
3. Young survivors want information about their fertility: Several women reported with regret that their doctors had not talked to them about fertility and they felt that a young woman was old enough to have this discussion anytime after puberty.
4. Young survivors want better continuity of care in survivorship: Many were frustrated with the poor coordination of care between their multiple medical providers, including care related to fertility and pregnancy planning. They felt that each practitioner focused on his or her specialist issue, rather than the bigger picture.
5. Cancer diagnosis and related fertility problems introduce relationship challenges: Young women were concerned about this both in the early stages of a relationship and in a more stable relationship.
6. Decisions about parenthood are complicated: Participants listed both emotional (worry about their personal health and life expectancy, as well as worry about their potential child's health) and practical (mainly financial) barriers to parenthood.
Gorman and team conclude; "It's critical for both researchers and clinicians to understand young female survivors' concerns about fertility and parenthood in order to address them adequately. Our results suggest that these young women would benefit from improved information regarding their options, through discussions initiated by their healthcare providers, better coordination of care in survivorship, and guidance and support in navigating both emotional and practical issues that arise when considering fertility and future parenthood."
Gorman JR et al (2011). How do you feel about fertility and parenthood? The voices of young female cancer survivors. Journal of Cancer Survivorship. DOI 10.1007/s11764-011-0211-9
Related Fertility Current Events and Fertility News ArticlesExpert urges voluntary family planning to mitigate climate change
With climate change already close to an irreversible tipping point, urgent action is needed to reduce not only our mean (carbon) footprints but also the "number of feet" - that is, the growing population either already creating large footprints or aspiring to do so, argues a leading physician and environmentalist in The BMJ today.Increased marrying, and mating, by education level not affecting genetic make-up
While the latter half of the 20th century showed a widening gap between the more and less educated with respect to marriage and fertility, this trend has not significantly altered the genetic makeup of subsequent generations, a team of researchers has found.A critical inheritance from dad ensures healthy embryos
An important feature for life is what embryos receive from mom and dad upon fertilization. Oddly enough, centrioles, the structures responsible for cell division and flagella movement, are given by the paternal gamete. Many young adult female cancer survivors need more information and support to preserve their fertility
A new study indicates that many young adult female cancer survivors do not receive adequate information about their fertility as part of their survivorship care after completing treatment, despite having concerns about their ability to bear children in the future. Scientists getting warmer on mimicking anti-freeze in nature
Researchers from the University of Leeds have taken an important step forward in mimicking nature's prowess at protecting cells from deep-freeze conditions. Blocking apoptotic response could preserve fertility in women receiving cancer treatments
Female cancer patients of reproductive age could preserve their fertility during radiation and chemotherapy through treatments that target the DNA damage response in oocytes (the cells that develop into eggs), an approach that works in animal models.Infertility risk posed by endometriosis may be half of previous estimation
About 5 to 10 percent of the general female population is affected with endometriosis, and a higher prevalence is found among women with infertility. Demand for radiotherapy will rise substantially over next 10 years
The demand for radiotherapy across all European countries will increase by an average of 16% between 2012 and 2025, with the highest expected increase being for prostate cancer cases (24%), according to a new study published in Radiotherapy and Oncology.Lowered birth rates one reason why women outlive men
Using unique demographic records on 140,600 reproducing individuals from the Utah Population Database, a research team led from Uppsala University has come to the conclusion that lowered birth rates are one reason why women outlive men in today's societies. The study is published in Scientific Reports. Women with epilepsy just as likely to get pregnant as healthy women of childbearing age
Women with epilepsy are just as likely to achieve a successful pregnancy as women without the neurological disorder, according to a new study led by research teams at multiple centers, including NYU Langone Medical Center.
More Fertility Current Events and Fertility News Articles
The Sperm Meets Egg Plan: Getting Pregnant Faster|
by Casey Shay Press
The Sperm Meets Egg Plan is a step-by-step guide to achieving pregnancy without taking invasive tests, charting temperatures, or making mistakes in predicting your ovulation that result in mistimed attempts at fertilization.
Designed by Deanna Roy after months of trying made her believe she had a fertility problem, the plan will help you time intercourse whether you have a typical or atypical cycle. It includes adjustments for common fertility problems, what to do if you are over forty, and considerations for trying again after a pregnancy loss.
This booklet includes 40 pages of instruction plus a 10-page sneak peek of Deanna's book Baby Dust. It should be a free download.
This booklet is a THANK YOU to all the women who have supported Deanna's web site...
Yes, You Can Get Pregnant: Natural Ways to Improve Your Fertility Now and into Your 40s|
by Aimee Raupp MS LAc (Author)
The complete guide to getting pregnant and improving fertility naturally Û even if youÌve been told your chances of conception are low Worried about your ability to have children in the next five years? Have you been trying to get pregnant for a while now and itÌs just not happening? Does it seem like every woman you know is having a hard time getting pregnant and you donÌt want that to be you when youÌre ready? Do you want natural, non-invasive options to conceive? If you answered ÏyesÓ to any one of these questions, Yes, You Can Get Pregnant is for you. A nationally renowned womenÌs health and fertility expert, Aimee Raupp has helped hundreds of women optimize their fertility and get pregnant, even after age 40. Here, she provides her complete program for improving your chances...
The Impatient Woman's Guide to Getting Pregnant|
by Jean M. Twenge Ph.D. (Author)
Comforting and intimate, this “girlfriend” guide to getting pregnant gets to the heart of all the emotional issues around having children—biological pressure, in-law pressures, greater social pressures—to support women who are considering getting pregnant.
Trying to get pregnant is enough to make any woman impatient. The Impatient Woman’s Guide to Getting Pregnant is a complete guide to the medical, psychological, social, and sexual aspects of getting pregnant, told in a funny, compassionate way, like talking to a good friend who’s been through it all. And in fact, Dr. Jean Twenge has been through it all—the mother of three young children, she started researching fertility when trying to conceive for the first time. A renowned sociologist and professor at San Diego...
Taking Charge of Your Fertility, 20th Anniversary Edition: The Definitive Guide to Natural Birth Control, Pregnancy Achievement, and Reproductive Health|
by Toni Weschler (Author)
In celebration of its 20th anniversary, a thoroughly revised and expanded edition of the leading book on fertility and women’s reproductive health.Since the publication of Taking Charge of your Fertility two decades ago, Toni Weschler has taught a whole new generation of women how to become pregnant, avoid pregnancy naturally and gain better control of their gynecological and sexual health by taking just a couple minutes a day using the proven Fertility Awareness Method.
Now, this 20th Anniversary Edition has been thoroughly revised and fully updated with: the latest medical advances in assisted reproductive technologies (ART) more in-depth coverage of women’s gynecological and sexual health new illustrations, photographs, and an expanded color insert new sample...
Making Babies: A Proven 3-Month Program for Maximum Fertility|
by Sami S. David (Author), Jill Blakeway (Author)
MAKING BABIES offers a proven 3-month program designed to help any woman get pregnant. Fertility medicine today is all about aggressive surgical, chemical, and technological intervention, but Dr. David and Blakeway know a better way. Starting by identifying "fertility types," they cover everything from recognizing the causes of fertility problems to making lifestyle choices that enhance fertility to trying surprising strategies such as taking cough medicine, decreasing doses of fertility drugs, or getting acupuncture along with IVF. MAKING BABIES is a must-have for every woman trying to conceive, whether naturally or through medical intervention. Dr. David and Blakeway are revolutionizing the fertility field, one baby at a time.
The Infertility Cure: The Ancient Chinese Wellness Program for Getting Pregnant and Having Healthy Babies|
by Randine Lewis (Author)
Infertility affects one out of six couples today. Dr. Lewis presents a groundbreaking alternative approach to infertility, explaining how she used traditional Chinese medicine to treat her own infertility, successfully conceiving and giving birth to two children.
What to Expect Before You're Expecting|
by Heidi Murkoff (Author), Sharon Mazel (Contributor)
Announcing the prequel. From Heidi Murkoff, author of America's bestselling pregnancy and parenting books, comes the must-have guide every expectant couple needs before they even conceive―the first step in What to Expect: What to Expect Before You're Expecting.
An estimated 11 million couples in the U.S. are currently trying to conceive, and medical groups now recommend that all hopeful parents plan for baby-making at least three months before they begin trying. And who better to guide wanna-be moms and dads step-by-step through the preconception (and conception) process than Heidi Murkoff?
It's all here. Everything couples need to know before sperm and egg meet up. Packed with the same kind of reassuring, empathetic, and practical information and advice and tips that...
HOW TO IMPROVE EGG QUALITY: The Smart Way to Get Pregnant|
by Darja Wagner, Ph.D.
The #1 Beststeller in the Category Reproductive Medicine! Updated in 2015 to explain the most recent advances in reproductive medicine and answer the most frequently asked questions!How to Improve Egg Quality: The Smart Way to Get Pregnant is packed with tons of recent research on improving egg quality and fertility of women over thirty-five. Written by a Ph.D. cell biologist, dedicated to the most special kind of cells: your eggs. The book is full of real-life examples and gives you a toolbox necessary to improve your egg quality in easy-to-follow steps and within a realistic time frame of three to six months.Do you hear your biological clock ticking? If you care about your fertility or are waiting impatiently to get pregnant, How to Improve Egg Quality: The Smart Way to Get Pregnant...
The Fertility Diet Protocol: The Ultimate Guide to What to Eat When You're Trying to Conceive (Healthy Gut Healthy Mind)|
The Fertility Diet Protocol
Hi, I'm Jessica Campbell,
Over the years I have tried everything under the sun in order to lose weight and stay fit. My enthusiasm for finding the best ways to live a simple life that leads to a healthy body and mind have lead me to all kinds of research. I've tried everything under the sun but only some things have actually worked and that's what I hope to pass on to you.
The following are just SOME of the things you'll learn in the following 40 page guide to getting your body more fertile.
An easy to follow plan that will help your body to be more fertile.
What foods you'll want to enjoy, and which to avoid.
The mindset you'll need to carry yourself forward with this new diet plan.
The Fertility Assure Quick Start Guide: Feed Yourself to Fertility!|
Are you ready to conceive and bring a new baby into the world?? Your most healthful fertility journey begins today with the Fertility Assure Quick Start Program! In this book, you will learn:
●The foundations of the Fertility Assure Program
●How to get pregnant quickly and easily
●The key to why other programs fail to work
●The secret to building healthy sex hormones
●How to recognize if you are starving your body of essential fertility nutrients
●Common foods that inhibit fertility and how to avoid them
●How to feel confident navigating the grocery store
Your body wants to become pregnant. That’s what it is designed to do! By following these foundations, you’ll give your body what it needs to make sex hormones and...