Psychological Counseling of Female Fertility Preservation Patients

被引:41
作者
Lawson, Angela K. [1 ]
Klock, Susan C. [1 ]
Pavone, Mary Ellen [1 ]
Hirshfeld-Cytron, Jennifer [2 ]
Smith, Kristin N. [1 ]
Kazer, Ralph R. [1 ]
机构
[1] Northwestern Univ, Dept Obstet & Gynecol, Chicago, IL 60611 USA
[2] Fertil Ctr Illinois, Orland Pk, IL USA
关键词
psychological counseling; psychosocial oncology; cancer; fertility preservation; QUALITY-OF-LIFE; BREAST-CANCER; YOUNG-WOMEN; PSYCHOSOCIAL-ASPECTS; AMERICAN-SOCIETY; CHILDLESS WOMEN; DISTRESS; INFERTILITY; DIAGNOSIS; SURVIVORS;
D O I
10.1080/07347332.2015.1045677
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Young cancer patients are increasingly interested in preserving their fertility prior to undergoing gonadotoxic therapies. Although the medical safety and treatment protocols for fertility preservation have been well documented, limited research has addressed the emotional issues that arise in fertility preservation patients. We briefly review the literature on the psychosocial issues in adult female fertility preservation treatment and describe our experiences within this patient population. Our findings suggest that several important issues to be addressed during the psychological counseling of adult female fertility preservation patients include: (1) preexisting psychological distress in patients undergoing treatment, (2) choice of fertility preservation strategy in the face of an uncertain relationship future, (3) decision making regarding use of third-party reproduction (e.g., sperm/egg donation, gestational surrogacy), (4) treatment expectations regarding pregnancy and miscarriage, (5) ethical issues related to treatment including the creation, cryopreservation, and disposition of embryos/oocytes, and (6) decision regret from patients who declined fertility preservation.
引用
收藏
页码:333 / 353
页数:21
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