Department of Psychology, University of Sheffield, Sheffield S10 2TP, UK.
Hum Reprod. 2011 Oct;26(10):2791-8. doi: 10.1093/humrep/der243. Epub 2011 Jul 21.
Sperm banking is recommended for all men before cancer treatment, which carries a risk of long-term gonadal damage. However, relatively few men take up the offer. Among them, few attend for fertility monitoring or agree to sperm disposal where fertility recovers. Sperm banks are therefore burdened by long-term storage of samples that may not be needed for conception, with implications for healthcare resources. The aims here were to determine the views of men regarding personal benefits of sperm banking, and the advantages and disadvantages of fertility monitoring and disposal in the longer term.
Semi-structured interviews were conducted with 19 men who were diagnosed with cancer and had banked sperm at least 5 years previously. Men were asked to recall their experiences from diagnosis to the present time, focusing on the consequences for their fertility. Interviews were transcribed and analysed using Interpretative Phenomenological Analysis.
Results are discussed in relation to decisions surrounding banking sperm, fertility monitoring and attitudes to disposal of banked sperm. Complex attitudes were identified, with men's views reflecting their understanding of their current and future fertility and the possible trajectory of cancer itself. Men are overwhelmed by information on diagnosis and fail to understand the implications of cancer treatment for their future fertility.
On diagnosis, men are given large amounts of information about cancer and treatment but fail to understand the longer-term implications of sperm banking. These implications need to be specifically addressed at subsequent appointments in order to optimize fertility monitoring and timely disposal of sperm samples.
由于癌症治疗有长期性腺损伤的风险，建议所有男性在治疗前进行精子冷冻保存。然而，只有少数男性接受了这一建议。在这些人中，很少有人接受生育监测或同意在生育能力恢复时处理精子。因此，精子库长期储存可能不需要用于受孕的样本，这对医疗保健资源造成了负担。这里的目的是确定男性对精子冷冻保存个人获益的看法，以及在较长时间内进行生育监测和处理的优缺点。
对 19 名至少在 5 年前因癌症诊断而冷冻精子的男性进行了半结构化访谈。要求男性回忆从诊断到现在的经历，重点关注对其生育能力的影响。使用解释现象学分析对访谈进行转录和分析。
结果与围绕精子冷冻保存、生育监测和冷冻精子处理的决策相关联。确定了复杂的态度，男性的观点反映了他们对当前和未来生育能力的理解，以及癌症本身可能的轨迹。男性在诊断时被大量关于癌症和治疗的信息所淹没，无法理解癌症治疗对他们未来生育能力的影响。
在诊断时，男性会收到大量关于癌症和治疗的信息，但无法理解精子冷冻保存的长期影响。这些影响需要在后续预约时专门解决，以优化生育监测和及时处理精子样本。
