Crawshaw Marilyn
Department of Social Policy and Social Work, University of York, York, UK.
Hum Fertil (Camb). 2013 Mar;16(1):59-63. doi: 10.3109/14647273.2012.733480. Epub 2013 Feb 5.
This review considers psychosocial oncofertility research relevant to adolescents and young adults over their lifetime. There is growing awareness of the fertility preservation needs of younger males including lowering practical barriers and attending to emotional impact. Despite decisional challenges facing females--the experimental nature of procedures, time involved and potential involvement of partners/donors (for embryo cryopreservation)--findings suggest they too benefit from fertility information at diagnosis and access to fertility specialists. Studies consistently report that fertility concerns affect well-being, relationships and life planning. Both genders thus want fertility issues to be raised proactively by professionals in the years following diagnosis: to help them make informed decisions at a time relevant to them, develop coping strategies for current and future related areas and to be referred to specialist and/or therapeutic help if needed. Little is known about why cancer survivors are less likely to marry or have children, or about their parenthood experiences.
本综述探讨了与青少年及年轻成年人一生相关的心理社会肿瘤生育力研究。人们越来越意识到年轻男性的生育力保存需求，包括降低实际障碍和关注情感影响。尽管女性面临决策挑战——手术的试验性质、所需时间以及伴侣/捐赠者（用于胚胎冷冻保存）的潜在参与——但研究结果表明，她们在诊断时也能从生育信息以及获得生育专家的帮助中受益。研究一致报告称，生育问题会影响幸福感、人际关系和人生规划。因此，两性都希望专业人员在诊断后的几年里主动提出生育问题：帮助他们在与自己相关的时间做出明智的决定，制定应对当前和未来相关领域问题的策略，并在需要时转介到专家和/或接受治疗帮助。对于癌症幸存者结婚或生育可能性较低的原因，以及他们的为人父母经历，我们知之甚少。
