Paper Information

Journal:   JOURNAL OF REPRODUCTION AND INFERTILITY   JANUARY-MARCH 2011 , Volume 12 , Number 1 (46); Page(s) 33 To 36.
 
Paper: 

IRANIAN ONCOLOGISTS’ ATTITUDE TOWARDS FERTILITY PRESERVATION IN A SAMPLE GROUP

 
 
Author(s):  GHORBANI BEHZAD, MADAHI POURAN, SHIRAZI ELHAM, SADRI ARDEKANI HOOMAN, KAMALI KOOROSH*
 
* REPRODUCTIVE BIOTECHNOLOGY RESEARCH CENTER, AVICENNA RESEARCH INSTITUTE, ACECR, SHAHID BEHESHTI UNIVERSITY, TEHRAN, IRAN
 
Abstract: 

Background: Recent advances in cancer treatment have resulted in an increased number of cancer survivors. Fertility might be impaired by cancer itself or through gonadal damage as a consequence of radio-chemotherapy. Damages to reproductive organs are seen in minimally up to 30% of cancer patients. The aim of the present study was evaluate the attitude of Iranian oncologists toward fertility preservation.
Methods: Thirty oncologists filled an author-designed questionnaire which included five multiple choice questions at Mahak hospital, Tehran in 2009.  The data were collected and analyzed by SPSS 11.5 software.
Results: More than half of the oncologists believed that radio-chemotherapy has destructive effects on reproductive organs. This study showed that as high as 67% of the respondants believed fertility preservation should be offered to all patients at risk, but 40% of them insisted that the patients should bring up the topic themselves. Only 46% of the oncologist knew about fertility preservation techniques. The greatest barriers for accepting fertility preservation by the parents of children undergoing cancer treatment were: lack of information (41%), hopelessness from treatment prognosis (33%), fear of delay in starting the treatment (15%) and the priority of child survival (11%).
Conclusion: The specific challenges of counseling are time pressure between diagnosis and start of treatment, little knowledge about fertility preservation both by treating oncologists and parents; therefore a team consisting of oncologists, infertility special-ists and social workers is recommended in these settings
.

 
Keyword(s): ATTITUDE, CANCER, FERTILITY PRESERVATION, ONCOLOGIST, RADIO-CHEMOTHERAPY
 
References: 
 
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