How do you feel about fertility and parenthood? The voices of young female cancer survivors
This qualitative study explores the fertility and parenthood concerns of young female cancer survivors, revealing their need for better information and support regarding fertility options and decision-making. Key themes include a hopeful yet anxious outlook on parenthood, frustration over a lack of control, and the emotional complexities introduced by cancer-related fertility issues. The findings highlight the importance of improved continuity of care and resources for these survivors.
College of Health researcher(s)
College unit(s)
Abstract
Purpose
Young adult cancer survivors are often unaware of their fertility status and uninformed regarding their fertility and fertility preservation options. This qualitative research study explores the fertility and parenthood concerns of reproductive-age female cancer survivors and how they make parenthood decisions.
Methods
Population- and clinic-based recruitment methods were used to identify a diverse group of survivors between the ages of 18 and 34 years. Our final sample size included 22 participants who attended one of seven focus groups. We used cross-case, inductive analysis to identify themes.
Results
The following main themes were identified: (1) A hopeful but worried approach to fertility and parenthood, (2) Frustration with a lack of choice or control over fertility, (3) Young survivors want information about their fertility, (4) Young survivors want better continuity of care in survivorship, (5) Cancer diagnosis and related fertility problems introduce relationship challenges, and (6) Decisions about parenthood are complicated.
Conclusions
The diverse group of young cancer survivors in this study identified several common needs and concerns regarding fertility and parenthood. This study illustrates that young survivors could benefit from improved information regarding their fertility and parenthood options throughout survivorship, better coordination of medical care, and support navigating many emotional and practical issues that arise when considering their reproductive and parenthood options.