Men and Women With Cancer May Receive Different Fertility Information

THURSDAY, May 31 (HealthDay News) — When men are diagnosed with
cancer they receive very different information about their future
fertility than women, new Scottish research says.

“Our study has demonstrated significant gaps in the information
provided to young women diagnosed with cancer and suggests the need for an
early appointment with a fertility expert,” study co-author Valerie
Peddie, a fertility nurse specialist and research midwife at the School of
Medicine and Dentistry at the University of Aberdeen, said in a news
release.

Researchers interviewed 16 men and 18 women ranging in age from 17 to
49 who recently had been diagnosed with cancer. The participants were
questioned about their understanding of their diagnosis, their prognosis
and their future reproductive options, as well as their perceptions of the
quality of their care.

In addition, 15 cancer-treatment professionals were asked their
opinions of their patients’ priorities, the information given to younger
people with cancer and their patients’ understanding of their treatment
options and how each option might affect fertility.

The study, published May 30 in BJOG: An International Journal of
Obstetrics and Gynaecology
, revealed that nearly all of the patients
were provided with written information on their cancer treatment. This
information included a small section on fertility preservation.

The researchers also found, however, that the information male patients
were given regarding their future fertility was different than the
information given to female patients.

All men — even those with children — were encouraged to consider
storing their sperm, and most had a discussion about sperm banking, the
study showed. In contrast, only a few women recalled any discussion about
preserving their fertility.

The researchers found that the health professionals interviewed said
treatment issues take precedence over future fertility issues. The health
professionals also believed sufficient information regarding fertility was
given at the time of the women’s initial diagnosis, and their fertility
wouldn’t be affected if treatment with first-line drugs was
successful.

“It has been widely argued that at the time of diagnosis, patients
should be provided with accurate information about the potential risk of
impaired fertility after treatment for cancer,” Peddie said. “However, in
reality, the immediate emphasis is often on treatment, with little time
available to discuss future fertility or options for fertility
preservation.”

The study authors noted that more research involving a larger
population is needed.

More information

The American Cancer Society provides more information on cancer and fertility.

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