Chehin Mauricio B, Bonetti Tatiana Cs, Serafini Paulo C, Motta Eduardo LA
Huntington - Medicina Reprodutiva. Sao Paulo, SP, Brasil.
Disciplina de Ginecologia Endocrinológica, Departamento de Ginecologia, Escola Paulista de Medicina da Universidade Federal de São Paulo (UNIFESP-EPM). Sao Paulo, SP, Brasil.
JBRA Assist Reprod. 2017 Jun 1;21(2):84-88. doi: 10.5935/1518-0557.20170021.
The aim of this study was to assess the knowledge about the risk of infertility in cancer patients after treatment, and the options for fertility preservation based on a survey carried out during the 2013 Pink October campaign.
This survey was carried out during the 2013 Pink October event in the most important public park of São Paulo, Brazil. Approximately 900 people expressed interest in learning about breast cancer prevention and fertility preservation by participating in workshops, and 242 people filled out a questionnaire.
Most of the respondents (78.5%) were women, and one-fourth (25%) had at least one relative with gynecological cancer. Among women over 40 years of age, 86.3% had been screened for breast cancer at some point. However, few participants (34.0%) were aware that cancer treatment can lead to infertility or had heard about fertility preservation options (22.0%). Having a relative with cancer did not influence their knowledge about fertility preservation (22.4% versus 21.3%; p=0.864). However, a higher educational level was significantly associated with more knowledge about the effects of cancer on fertility and options for fertility preservation.
The majority of participants did not have knowledge about the impact of oncologic treatment on fertility and did not know that there are options to preserve fertility in cancer patients. Awareness of infertility risk factors is an essential first step to safeguard future fertility, and therefore, more educational initiatives are needed to spread knowledge about oncofertility.
本研究旨在基于2013年粉红十月活动期间开展的一项调查，评估癌症患者治疗后不孕风险的相关知识以及生育力保存的选择。
这项调查于2013年粉红十月活动期间在巴西圣保罗最重要的城市公园进行。约900人通过参加研讨会表达了对了解乳腺癌预防和生育力保存的兴趣，242人填写了问卷。
大多数受访者（78.5%）为女性，四分之一（25%）至少有一位患有妇科癌症的亲属。在40岁以上的女性中，86.3%曾在某个时候接受过乳腺癌筛查。然而，很少有参与者（34.0%）意识到癌症治疗会导致不孕或听说过生育力保存的选择（22.0%）。有患癌亲属并不影响他们对生育力保存的了解（22.4%对21.3%；p = 0.864）。然而，较高的教育水平与对癌症对生育力的影响及生育力保存选择的更多了解显著相关。
大多数参与者不了解肿瘤治疗对生育力的影响，也不知道癌症患者有生育力保存的选择。意识到不孕风险因素是保障未来生育力的重要第一步，因此，需要更多的教育举措来传播关于肿瘤生育学的知识。
