College of Public Health and Human Sciences

Cancer survivors who wish to become parents but are unable, or choose not, to have biological children have the option to build their families through adoption. Many young adult survivors are willing to consider adoption, but need for more information. Although many would still prefer to have a biological child, one study indicated twofold higher interest in adoption among young adult female cancer survivors as compared with women in the general population. However, adoption is a complex process and decision, particularly for those with a history of cancer. Adoption processes and regulations vary widely across agencies, states, and nations, some of which may result in differential treatment of cancer survivors. The most commonly reported barriers to pursuing adoption include the high financial cost and concerns about not being perceived as a good candidate by adoption agencies. While adoption is the ideal choice for some cancer survivors, the process is arduous and requires patience and support. Oncology and reproductive health teams have an important role to play in educating and counseling their patients by providing accurate information about the adoption process and resources specific to their cancer survivor patients’ needs. This will support patients in making fully informed decisions that are consistent with their own goals, beliefs, and values.