Moffitt Cancer Center - USF Health Outcomes, 12902 Magnolia Drive, MRC CANCONT, Tampa, FL 33612, USA.
J Midwifery Womens Health. 2010 Mar-Apr;55(2):175-80. doi: 10.1016/j.jmwh.2009.07.009.
Young women diagnosed with cancer have the option of preserving their fertility by using assisted reproductive technology (ART) techniques prior to undergoing cancer treatment. This article presents a composite case of a young woman with cancer who had many unanswered emotional and ethical questions about her future as a parent. Fertility preservation techniques, including preimplantation genetic diagnosis (PGD), and related patient education are described. Current literature regarding reproductive counseling for cancer survivors is reviewed. Resources for providing psychosocial support for decisions about fertility preservation are lagging behind the rapid pace of scientific advancements in cancer treatment and ART. As more young women are surviving cancer and taking steps to preserve fertility, there is great need for the provision of psychologic support services and the establishment of ethical guidelines to aid them on this path. Women's health care providers can provide support to cancer survivors facing fertility and parenting issues by becoming knowledgeable about the long-term aspects of decision making and developing educational materials and guidelines for these patients.
年轻女性在接受癌症治疗前可选择通过辅助生殖技术（ART）来保存生育能力。本文呈现了一个综合病例，一名年轻女性患有癌症，她对自己未来作为父母的身份有许多未解答的情感和伦理问题。描述了生育力保存技术，包括植入前遗传学诊断（PGD），并对相关患者教育进行了描述。综述了关于癌症幸存者生殖咨询的现有文献。为生育力保存决策提供心理社会支持的资源落后于癌症治疗和 ART 领域科学进步的快速步伐。随着越来越多的年轻女性癌症存活并采取措施保存生育能力，非常需要提供心理支持服务和制定伦理准则来帮助她们走上这条道路。女性健康护理提供者可以通过了解决策的长期方面并为这些患者制定教育材料和指南，为面临生育和育儿问题的癌症幸存者提供支持。
