Skip to main content
SpringerLink
Log in

The Fertility Preservation (FP) Consult

  • Chapter
  • First Online:
Textbook of Oncofertility Research and Practice

Abstract

At the time of cancer diagnosis, families are in crisis mode. Decisions regarding treatment and fears over the child’s future are of paramount concern. It may be difficult for families to articulate concerns for the future when facing treatment decisions for a life-altering illness. Patients and families should be given information regarding all treatment side effects, including impact treatment may have on future fertility and any fertility preservation options. The fertility preservation consultant must consider the patient’s age, sexual maturity, cognitive abilities, as well as the influence of culture, religion, literacy level, and family milieu on decision-making. Social workers, psychologists, chaplains, child life specialists, and ethics consultants may provide support to families who struggle with making decisions regarding fertility preservation. Patients will require information on puberty and reproductive and sexual health throughout their lifespan, as well as into adulthood.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. American Society for Reproductive Medicine and Society for Assisted Reproductive Technology: Ethics Committees. Fertility preservation and reproduction in cancer patients. Fertil Steril. 2005;86(6):1622–8.

    Google Scholar 

  2. Anderson S, Barton D, Bell B, Beniquez L, Bodiford C, Butler E, Thibodeau J. Hey, what do I say? A parent to parent guide on how to talk to children about sexuality. Planned Parenthood of New York City. 2009. www.ppnyc.org.

  3. Armuand GM, Wettergren L, Rodriguez-Wallberg KA, Lampic C. Women more vulnerable than men when facing risk for treatment-induced infertility: a qualitative study of young adults newly diagnosed with cancer. Acta Oncol. 2015;54:243–52.

    Article  PubMed  Google Scholar 

  4. Barton SE, Najita JS, Ginsburg ES, Leisenring WM, Stovall M, Weathers RE, Sklar CA, Robison LL, Diller L. Infertility, infertility treatment, and achievement of pregnancy in female survivors of childhood cancer: a report from the Childhood Cancer Survivor Study cohort. Lancet Oncol. 2013;14(9):873–81.

    Article  PubMed  Google Scholar 

  5. Bashore L, Carr B, Lockart B, Schmidt D. Fertility preservation for pediatric, adolescent and young adult patients. 2012. Retrieved from www.aphon.org/files/public/onco-fertilitypaper.

  6. Burns KC, Boudreau C, Panepinto JA. Attitudes regarding fertility preservation in female adolescent cancer patients. J Pediatr Hematol Oncol. 2006;28(6):350–4.

    Article  PubMed  Google Scholar 

  7. Children’s Oncology Group. Long-term follow-up guidelines for survivors of childhood, adolescent, and young adult cancers and related health links Version 4. 2013.

    Google Scholar 

  8. Edge B, Holmes D, Makin G. Sperm banking in adolescent cancer patients. Arch Dis Child. 2006;91:149–52.

    Article  CAS  PubMed  Google Scholar 

  9. Fallat ME, Hutter J. Preservation of fertility in pediatric and adolescent patients with cancer. Pediatrics. 2008;121(5):1461–9. https://doi.org/10.1542/peds.2008-0593.

    Article  Google Scholar 

  10. Fernbach A, Lockart B, Armus CL, Bashore LM, Levine J, Kroon L, Sylvain G, Rodgers C. Evidence-based recommendations for fertility preservation options for inclusion in treatment protocols for pediatric and adolescent patients diagnosed with cancer. J Pediatr Oncol Nurs. 2014;31(4):211–22. https://doi.org/10.1177/1043454214532025.

    Article  PubMed  Google Scholar 

  11. Giesbertz NAA, Bredenoord AL, van Delden JJM. Consent procedures in pediatric biobank. Eur J Hum Genet. 2014;23:1–6.

    Google Scholar 

  12. Grady C, Wiener L, Abdoler E, Trauernicht E, Zadeh S, Diekema DS, Wilfond BS, Wendler D. Assent in research: the voices of the adolescents. J Adolesc Health. 2014;54(5):515–20.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Green DM, Nolan VG, Goodman PJ, Whitton JA, Srivastava D, Leisenring WM, Neglia JP, Sklar CA, Kaste SC, Hudson MM, Diller LR, Stovall M, Donaldson SS, Robison LL. The cyclophosphamide equivalent dose as an approach for quantifying alkylating agent exposure. A report from the Childhood Cancer Survivor Study. Pediatr Blood Cancer. 2014;61(1):53–67.

    Article  CAS  PubMed  Google Scholar 

  14. Loren AW, Mangu PB, Nohr Beck L, Brennan L, Magdalinski AJ, Partridge AH, Quinn G, Wallace WH, Oktay K. Fertility preservation for patients with cancer: American Society of Clinical Oncology clinical practice guideline update. J Clin Oncol. 2013; Advance online publication. Retrieved from https://doi.org/10.1200/JCO.2013.49.2678.

  15. Martino SC, Elliott MN, Corona R, Kanouse DE, Schuster MA. Beyond the “Big Talk”: the roles of breadth and repetition in parent-adolescent communication about sexual topics. Pediatrics. 2008;121:e612.

    Article  PubMed  Google Scholar 

  16. National Sexual Violence Resource Center. An overview of adolescent sexual development. 2014. Retrieved from www.nsvrc.org/saam.

  17. Nieman CL, Kinahan KE, Young SE, Rosenbloom SK, Yost KJ, Volpe T, Zoloth L, Woodruff TK. Fertility preservation and adolescent cancer patients: lessons from adult survivors of childhood cancer and their patients. Cancer Treat Res. 2007;138:201–17.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Quinn GP, Vadaparampil ST. Fertility preservation and adolescent young/adult cancer patients: physician communication challenges. J Adolesc Health. 2009;44:394–400.

    Article  PubMed  Google Scholar 

  19. Shafii T, Burstein GR. The adolescent sexual health visit. Obstet Gynecol Clin N Am. 2009;36:99–117.

    Article  Google Scholar 

  20. Stein DM, Victorson DE, Choy JT, Waimey KE, Pearman TP, Smith K, Dreyfuss J, Kinahan KE, Sadhwani D, Woodruff TK, Brannigan RE. Fertility preservation preferences and perspectives among adult male survivors of pediatric cancer and their parents. J Adolesc Young Adult Oncol. 2014;3(2):75–85.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Wasilewski-Masker K, Seidel KD, Leisenring W, Mertens AC, Shnorhavorian M, Ritenour CW, Stovall M, Green DM, Sklar CA, Armstrong GT, Robison LL, Meacham LR. Male infertility in long-term survivors of pediatric cancer: a report from the Childhood Cancer Survivor Study. J Cancer Surviv. 2014;8(3):437–47.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Yeomanson DJ, Morgan S, Pacey AA. Discussing fertility preservation at the time of cancer diagnosis: dissatisfaction of young females. Pediatr Blood Cancer. 2013;60:1996–2000.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Solid Tumors and Fertility Preservation, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA

    Barbara A. Lockart

Authors
  1. Barbara A. Lockart
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Barbara A. Lockart .

Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynecology, Northwestern University , Chicago, IL, USA

    Teresa K. Woodruff

  2. Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA

    Divya K. Shah

  3. Department of Obstetrics and Gynecology, University of Rochester, Rochester, NY, USA

    Wendy S. Vitek

Review Questions and Answers

Review Questions and Answers

  1. Q1.

    True or false? Barriers to fertility preservation include provider concerns about family’s ability to pay for procedures, cultural and religious influences, discomfort with the topic, and lack of awareness of available options.

  2. A1.

    True

  1. Q2.

    True or false? A 16-year-old male who is staring at the floor when meeting with the provider to discuss sperm banking is not interested in his fertility.

  2. A2.

    False

  1. Q3.

    Sexual identity begins to emerge in:

    1. (a)

      Early adolescence

    2. (b)

      Middle adolescence

    3. (c)

      Late adolescence

  1. A3.

    (a)

  2. Q4.

    True or False? Patients younger than 18 should be offered the opportunity to discuss fertility preservation without parents present.

  3. A4.

    True

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lockart, B.A. (2019). The Fertility Preservation (FP) Consult. In: Woodruff, T., Shah, D., Vitek, W. (eds) Textbook of Oncofertility Research and Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-02868-8_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-02868-8_21

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-02867-1

  • Online ISBN: 978-3-030-02868-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation