Department of Obstetrics & Gynecology, Izmir Economy University, School of Medicine, Medical Park Hospital, Izmir, Turkey.
In Vitro Fertilization Unit, Izmir Economy University, Medical Park Hospital, Izmir, Turkey.
Int J Clin Pract. 2023 Feb 8;2023:6193187. doi: 10.1155/2023/6193187. eCollection 2023.
To evaluate the knowledge level and perspectives of female cancer patients regarding fertility preservation techniques before gonadotoxic treatment. . This was a prospective observational survey-based study conducted between 2016 and 2020 in Izmir Economy University Medical Park Hospital. A total of 150 female cancer patients aged 18-42 years were included. The participants completed a 17-item questionnaire, developed by the research team to evaluate their knowledge and perspectives on fertility preservation techniques.
The mean age of the patients was 39.5 ± 4.9 years. Only 64.7% of the patients were referred to fertility counseling by a gynecologist, while 72.6% of the patients knew of the risk of infertility after cancer treatment. There was a significant correlation between the health status and cancer stage of the patient (=0.003). The estimated future chance of becoming pregnant spontaneously or through fertility preservation techniques was significantly higher in patients with a higher education level (=0.041 or 0.008, respectively). Satisfaction with the counseling process was reported as high or low by 66.7% or 20% of the patients, respectively.
The rate of referral of reproductive-age cancer patients to fertility preservation counseling is still not satisfactory. Education level was the only variable significantly associated with a motivation to become pregnant after cancer treatment, either spontaneously or through fertility preservation techniques.
评估女性癌症患者在接受性腺毒性治疗前对生育力保存技术的知识水平和观点。这是一项 2016 年至 2020 年在伊兹密尔经济大学医学公园医院进行的前瞻性观察性调查研究。共纳入 150 名年龄在 18-42 岁的女性癌症患者。参与者完成了由研究团队开发的 17 项问卷，以评估他们对生育力保存技术的知识和观点。
患者的平均年龄为 39.5±4.9 岁。只有 64.7%的患者由妇科医生转介生育咨询，而 72.6%的患者知道癌症治疗后不孕的风险。患者的健康状况和癌症分期之间存在显著相关性 (=0.003)。教育程度较高的患者对未来自然怀孕或通过生育力保存技术怀孕的估计几率明显较高(=0.041 或 0.008，分别)。分别有 66.7%或 20%的患者对咨询过程表示满意或不满意。
生殖年龄癌症患者转介生育力保存咨询的比例仍然不尽人意。教育程度是唯一与癌症治疗后自然怀孕或通过生育力保存技术怀孕的动机显著相关的变量。
