Huntington-Medicina Reprodutiva, Av Republica do Líbano, 529 Ibirapuera, São Paulo, 04501-000, Brazil.
Disciplina de Ginecologia Endocrinológica, Departamento de Ginecologia, Escola Paulista de Medicina da Universidade Federal de São Paulo (UNIFESP-EPM), Rua Napoleão de Barros, 608 Vila Clementino, São Paulo, SP, 04024-002, Brazil.
J Assist Reprod Genet. 2018 Apr;35(4):601-606. doi: 10.1007/s10815-018-1131-7. Epub 2018 Feb 12.
The risk of ovarian failure after radiotherapy and/or chemotherapy is a concern among oncologic women. There is no doubt regarding the psycho-emotional benefits of fertility preservation (FP) after a cancer diagnosis because concerns about biological conception are a source of anxiety and can even affect the patient's cancer recovery. The aim of this study was to evaluate oncology patients' feelings, concerns, and life quality impacts related to FP.
This qualitative cross-sectional study was based on a questionnaire administered to a selected group of women diagnosed with cancer who underwent FP. Thirty-four eligible women (23-39 years old) completed this questionnaire.
Two of the participants already had a child, and most of them (61.8%) stated a desire to have children at the time of FP. Their feelings primarily involved safety (44.1%) and hope (23.5%). Time and/or financial issues (82.4%) were the main challenge for FP. All of the women noted the importance of FP, with many stating that it is warranted to allow the possibility of a biological pregnancy due to the risk of infertility. Finally, questions about the impact on their lives if they had not undergone FP indicated emotional impairment, low quality of life, relationship problems, and uncertainty about maternity.
FP for oncology patients is a positive strategy. The women in this study felt that FP was a worthwhile process and that the security of having undergone FP brought them peace during oncological treatment and contributed to their quality of life.
放疗和/或化疗后卵巢衰竭的风险是肿瘤女性关注的问题。癌症诊断后进行生育力保存（FP）无疑具有心理-情感益处，因为对生物妊娠的担忧是焦虑的来源，甚至会影响患者的癌症康复。本研究旨在评估与 FP 相关的肿瘤患者的感受、担忧和生活质量影响。
这是一项基于问卷调查的定性横断面研究，调查对象为接受 FP 的确诊癌症女性。共有 34 名符合条件的女性（23-39 岁）完成了该问卷。
其中 2 名参与者已经有孩子，大多数（61.8%）在 FP 时表示有生育孩子的愿望。她们的主要感受是安全（44.1%）和希望（23.5%）。时间和/或经济问题（82.4%）是 FP 的主要挑战。所有女性都认为 FP 很重要，许多人表示，由于不孕的风险，允许进行生物妊娠是有必要的。最后，关于如果没有进行 FP 对她们生活的影响的问题表明，她们存在情绪受损、生活质量低、关系问题和对母性的不确定性。
FP 对肿瘤患者是一种积极的策略。本研究中的女性认为 FP 是一个有价值的过程，FP 的安全性在肿瘤治疗期间给她们带来了平静，并有助于提高她们的生活质量。
