Few Young Women With Cancer Take Steps to Preserve Fertility

MONDAY, March 26 (HealthDay News) — Very few young women with
cancer take measures to preserve their fertility while undergoing cancer
treatment, a new study says.

The findings suggest that reproductive-age women with cancer need more
information about fertility preservation methods such as egg or embryo
freezing, said Dr. Mitchell Rosen, of the University of California, San
Francisco, and colleagues.

The researchers surveyed 1,041 women aged 18 to 40 who were diagnosed
with cancer between 1993 and 2007. Of those women, 918 received cancer
therapies (chemotherapy, pelvic radiation, pelvic surgery, or bone marrow
transplant) that could harm their fertility.

Sixty-one percent of the women received counseling from their doctors
or other health care providers on the risks that cancer treatment posed to
their fertility, but only 4 percent of the women actually took steps to
preserve their fertility.

The proportion of patients who took measures to preserve their
fertility, however, increased from 1 percent in 1993 to between 6 percent
and 10 percent in 2005 to 2007, according to the study, which was
published online March 26 in the journal Cancer.

The researchers also found that women who were childless, younger,
white, heterosexual and college graduates were more likely than women of
other backgrounds both to be counseled about the fertility-related risks
of cancer treatment and to preserve their fertility before undergoing
cancer treatment.

“Although more women are getting counseled regarding reproductive
health risks, many women are still not receiving adequate information
about their options at the time of cancer diagnosis,” Rosen said in a
journal news release. “Routine counseling regarding reproductive health
risk and options for preserving reproductive potential will improve the
quality of life among survivors, and the overall quality of care.”

In the United States, more than 120,000 women under age 50 are
diagnosed with cancer each year.

According to the American Cancer Society, steps to preserve fertility
usually have to be taken before or during cancer treatment, meaning young
women with cancer need to make decisions quickly.

Freezing embryos is the most common, well-established option for women.
But there are other methods, including freezing eggs or portions of
ovarian tissue and choosing specific strategies for combating the cancer
that spare the ovaries.

More information

The American Cancer Society has more about fertility and cancer.

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