Fertility perspectives and priorities among male adolescents and young adults in cancer survivorship |
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| Authors: | Leena Nahata Nicole M. Caltabellotta Nicholas D. Yeager Vicky Lehmann Stacy L. Whiteside Sarah H. O'Brien Gwendolyn P. Quinn Cynthia A. Gerhardt |
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| Affiliation: | 1. Division of Endocrinology, Nationwide Children's Hospital, Columbus, Ohio;2. Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio;3. Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio;4. Division of Hematology/Oncology, Nationwide Children's Hospital, Columbus, Ohio;5. Department of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee;6. Center for Innovation in Pediatric Practice, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio;7. Department of Obstetrics and Gynecology, New York University Medical Center, New York City, New York |
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| Abstract: | Infertility is a common and distressing late effect of cancer treatment among male survivors. Investigators examined desire for parenthood, prioritization of fertility compared to other life goals, and reports of fertility‐related discussions among a cohort of male adolescent and young adult survivors. Eighty percent desired a biological child, yet only 31% ranked having a child among their “top 3” life goals. Only 40% reported fertility‐related discussions with their health care providers in survivorship. Given the importance of biological children among this cohort, future guidelines should encourage a more proactive approach to providing fertility counseling and offering testing, to mitigate distress and prevent unplanned pregnancies. |
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| Keywords: | AYAs fertility preservation infertility parenthood survivors |
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