Why healthcare providers should focus on the fertility of AYA cancer survivors: It's not too late!

Devin Murphy, Etan Orgel, Amanda Termuhlen, Susan Shannon, Krista Warren, Gwendolyn P. Quinn

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

Reproductive health among cancer survivors is an important quality of life issue. Certain cancer therapies have known fertility risks. There is an existing cohort of adolescents and young adults (AYA) cancer survivors that, seen less frequently in clinical care settings than active patients, are likely not having discussions of fertility and other reproductive health issues. A survivor or healthcare provider can easily assume that the window of opportunity for fertility preservation has passed, however emerging research has shown this may not be the case. Recent data demonstrates a close relationship between fertility and other late effects to conclude that ongoing assessment during survivorship is warranted. Some fertility preservation procedures have also been shown to mitigate common late effects. This review explores the link between late effects from treatment and common comorbidities from infertility, which may exacerbate these late effects. This review also highlights the relevance of fertility discussions in the AYA survivorship population.

Original languageEnglish (US)
Article numberArticle 248
JournalFrontiers in Oncology
Volume3 OCT
DOIs
StatePublished - 2013
Externally publishedYes

Keywords

  • Adolescent and young adult
  • Discussion
  • Fertility
  • Oncology
  • Survivorship

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