Exploring Attitudes to Conception in Partners and Young Women with Gynecologic Cancers Treated by Fertility Sparing Surgery

BACKGROUND: Approximately 20% of women with gynecologic cancers are under age 40 and with delayed childbearing, women may be diagnosed before their first pregnancy. Although fertility preservation is a priority for many women, attitudes to conception have not previously been investigated in these pa...

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Autores principales: Standen, Prue, Cohen, Paul A, Leung, Yee, Mohan, Ganendra Raj, Salfinger, Stuart G, Tan, Jason, Bulsara, Caroline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: West Asia Organization for Cancer Prevention 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7779464/
https://www.ncbi.nlm.nih.gov/pubmed/32986359
http://dx.doi.org/10.31557/APJCP.2020.21.9.2609
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author Standen, Prue
Cohen, Paul A
Leung, Yee
Mohan, Ganendra Raj
Salfinger, Stuart G
Tan, Jason
Bulsara, Caroline
author_facet Standen, Prue
Cohen, Paul A
Leung, Yee
Mohan, Ganendra Raj
Salfinger, Stuart G
Tan, Jason
Bulsara, Caroline
author_sort Standen, Prue
collection PubMed
description BACKGROUND: Approximately 20% of women with gynecologic cancers are under age 40 and with delayed childbearing, women may be diagnosed before their first pregnancy. Although fertility preservation is a priority for many women, attitudes to conception have not previously been investigated in these patients or their partners. We explored attitudes to conception in partners and young women, following fertility preserving treatment for gynecologic cancers. METHODS: A total of 16 telephone interviews were conducted with a purposive sample of patients who had had an early stage gynecologic cancer or borderline ovarian tumor treated by fertility sparing surgery in Western Australia between January 1st, 2005 to December 31st, 2016. The interviews were audio recorded, transcribed and thematic analysis was conducted. RESULTS: Four main themes were identified: (i) Emotions at diagnosis and perception of information given; (ii) Discussions of fertility and factors affecting childbearing; (iii) Role of partners in decision making and relationship pressures; (iv) Decision for treatment and postoperative regrets. CONCLUSIONS: Regret and relationship breakdown were commonly reported. Women need appropriate support including inviting their partners to attend clinic appointments and may need several appointments before treatment. Regret was commonly reported by women who opted for completion surgery.
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spelling pubmed-77794642021-01-08 Exploring Attitudes to Conception in Partners and Young Women with Gynecologic Cancers Treated by Fertility Sparing Surgery Standen, Prue Cohen, Paul A Leung, Yee Mohan, Ganendra Raj Salfinger, Stuart G Tan, Jason Bulsara, Caroline Asian Pac J Cancer Prev Research Article BACKGROUND: Approximately 20% of women with gynecologic cancers are under age 40 and with delayed childbearing, women may be diagnosed before their first pregnancy. Although fertility preservation is a priority for many women, attitudes to conception have not previously been investigated in these patients or their partners. We explored attitudes to conception in partners and young women, following fertility preserving treatment for gynecologic cancers. METHODS: A total of 16 telephone interviews were conducted with a purposive sample of patients who had had an early stage gynecologic cancer or borderline ovarian tumor treated by fertility sparing surgery in Western Australia between January 1st, 2005 to December 31st, 2016. The interviews were audio recorded, transcribed and thematic analysis was conducted. RESULTS: Four main themes were identified: (i) Emotions at diagnosis and perception of information given; (ii) Discussions of fertility and factors affecting childbearing; (iii) Role of partners in decision making and relationship pressures; (iv) Decision for treatment and postoperative regrets. CONCLUSIONS: Regret and relationship breakdown were commonly reported. Women need appropriate support including inviting their partners to attend clinic appointments and may need several appointments before treatment. Regret was commonly reported by women who opted for completion surgery. West Asia Organization for Cancer Prevention 2020-09 /pmc/articles/PMC7779464/ /pubmed/32986359 http://dx.doi.org/10.31557/APJCP.2020.21.9.2609 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Standen, Prue
Cohen, Paul A
Leung, Yee
Mohan, Ganendra Raj
Salfinger, Stuart G
Tan, Jason
Bulsara, Caroline
Exploring Attitudes to Conception in Partners and Young Women with Gynecologic Cancers Treated by Fertility Sparing Surgery
title Exploring Attitudes to Conception in Partners and Young Women with Gynecologic Cancers Treated by Fertility Sparing Surgery
title_full Exploring Attitudes to Conception in Partners and Young Women with Gynecologic Cancers Treated by Fertility Sparing Surgery
title_fullStr Exploring Attitudes to Conception in Partners and Young Women with Gynecologic Cancers Treated by Fertility Sparing Surgery
title_full_unstemmed Exploring Attitudes to Conception in Partners and Young Women with Gynecologic Cancers Treated by Fertility Sparing Surgery
title_short Exploring Attitudes to Conception in Partners and Young Women with Gynecologic Cancers Treated by Fertility Sparing Surgery
title_sort exploring attitudes to conception in partners and young women with gynecologic cancers treated by fertility sparing surgery
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7779464/
https://www.ncbi.nlm.nih.gov/pubmed/32986359
http://dx.doi.org/10.31557/APJCP.2020.21.9.2609
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