Cancer and infertility: psychosocial aspects in young women undergoing ovarian tissue cryopreservation
- International Journal of Family & Community Medicine
Cristina Saéz-Mansilla, Estrella Durá
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Objectives: The main objective of this study is to analyze the psychosocial impact that causes in young women with cancer, the possible loss of their fertility caused by the treatment of their disease, and to analyse their attitudes toward the intervention of extraction and ovarian tissue cryopreservation which is submitted to preserve their fertility, and identify predictors of greater emotional distress.
Methods: This study was conducted with a sample of 116 women newly diagnosed with cancer who were to receive gonadotoxic treatments. They were interviewed and completed a series of instruments (BSI-18, EMASP, COPE).
Results: The level of concern about their possible loss of fertility was high (8.06 out of 10) but undergoing OTC relieved their concern to 97% of the sample. Most of them preserved their fertility for having children and for not suffering an early menopause. Generally it is the oncologist who informs on this effect. The levels of emotional distress were low. The social support perceived was high and the coping strategies most commonly employed were Cognitive Coping, Search of Support and Active Coping. An increased use of the strategies search of support and religion accompanied to a low use of cognitive strategies and less support perceived will increase the levels of emotional distress.
Conclusions: The possible loss of fertility concerns young women newly diagnosed with cancer. However the level of emotional distress experienced is not clinically significant. Having cryopreserved ovarian tissue alleviates the level of concern.
cancer, fertility, preservation, young women, psychosocial aspects, distress, oncofertility