Fertility Preservation in Children and Adolescents With Cancer: Pilot of a Decision Aid for Parents of Children and Adolescents With Cancer (Preprint)
Catherine Allingham, Lynn Gillam, Maria McCarthy, Margaret Zacharin, Sadunee Jayasuriya, Yves Heloury, Lisa Orme, Michael Sullivan, Michelle Peate, Yasmin Jayasinghe
JMIR Publications Inc.
BACKGROUND Future infertility is a significant concern for survivors of childhood and adolescent cancer. Children and adolescents may have the opportunity to undergo fertility preservation (FP) procedures (which preserve gonadal tissue or gametes for future use) prior to the cancer treatment. However, the decision is very complex, as it is often made by parents as proxy decision makers at the time of cancer diagnosis, and is time-sensitive (needing to occur before the cancer treatment begins). Furthermore, FP procedures in children and adolescents are experimental and cannot guarantee future fertility. An uninformed decision may result in future decision regret. ..View full abstract