Joan Kirner Hospital, St Albans, Victoria, Australia.
King Edward Memorial Hospital, Subiaco, Western Australia, Australia.
Asian Pac J Cancer Prev. 2020 Sep 1;21(9):2609-2614. doi: 10.31557/APJCP.2020.21.9.2609.
Approximately 20% of women with gynecologic cancers are under age 40 and with delayed childbearing, women may be diagnosed before their first pregnancy. Although fertility preservation is a priority for many women, attitudes to conception have not previously been investigated in these patients or their partners. We explored attitudes to conception in partners and young women, following fertility preserving treatment for gynecologic cancers.
A total of 16 telephone interviews were conducted with a purposive sample of patients who had had an early stage gynecologic cancer or borderline ovarian tumor treated by fertility sparing surgery in Western Australia between January 1st, 2005 to December 31st, 2016. The interviews were audio recorded, transcribed and thematic analysis was conducted.
Four main themes were identified: (i) Emotions at diagnosis and perception of information given; (ii) Discussions of fertility and factors affecting childbearing; (iii) Role of partners in decision making and relationship pressures; (iv) Decision for treatment and postoperative regrets.
Regret and relationship breakdown were commonly reported. Women need appropriate support including inviting their partners to attend clinic appointments and may need several appointments before treatment. Regret was commonly reported by women who opted for completion surgery.
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约 20%的妇科癌症患者年龄在 40 岁以下，且生育时间较晚，因此可能在首次怀孕前就被诊断出癌症。尽管许多女性都将生育力保存作为治疗的首要目标，但之前尚未对这些患者及其伴侣对妊娠的态度进行过调查。我们探讨了在接受妇科癌症生育力保存治疗后，伴侣和年轻女性对妊娠的态度。
对 2005 年 1 月 1 日至 2016 年 12 月 31 日期间在澳大利亚西部接受早期妇科癌症或交界性卵巢肿瘤的生育力保留手术治疗的患者进行了一项有针对性的抽样调查，共进行了 16 次电话访谈。访谈进行了录音、转录，并进行了主题分析。
确定了四个主要主题：（i）诊断时的情绪和对所提供信息的感知；（ii）对生育能力的讨论以及影响生育的因素；（iii）伴侣在决策中的作用和关系压力；（iv）治疗决策和术后遗憾。
经常报告遗憾和关系破裂。女性需要适当的支持，包括邀请伴侣参加诊所预约，并且可能需要多次预约才能进行治疗。选择完成手术的女性常报告感到遗憾。
