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Threatened fertility: A longitudinal study exploring experiences of fertility and having children after cancer treatment
Linköping University, Department of Clinical and Experimental Medicine, Division of Children's and Women's health. Linköping University, Faculty of Medicine and Health Sciences. Karolinska Inst, Sweden.
Karolinska Inst, Sweden.
Karolinska Inst, Sweden.
Karolinska Inst, Sweden; Karolinska Univ Hosp Huddinge, Sweden.
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2018 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 27, no 2, article id e12798Article in journal (Refereed) Published
Abstract [en]

Infertility is a recognised potential sequel of cancer treatment which impacts negatively on the quality of survival. The aim of this study was to explore how men and women experience the threat of infertility by cancer treatment and individuals thoughts about having children after cancer during the first 2years following diagnosis. Nine women and seven men (aged 24-41) participated in two interviews in this longitudinal interview study, after the initiation of cancer treatment and 2years thereafter. The interviews focused on participants thoughts and feelings about threatened fertility and having children. The interviews were analysed with qualitative content analysis with a particular focus on identifying experiences over time. The Traits-Desires-Intentions model was used to reflect upon the study findings. The analysis resulted in the identification of four themes: Continue calmly on chosen path, Abandoning plans for children, Avoiding the subject of fertility and Struggling towards life goals. The results emphasise the need to offer individualised fertility-related treatment communication and counselling, both at the time of cancer diagnosis and also in connection with follow-up care. Appropriate fertility-related communication should be included in young cancer patients survivor care plans.

Place, publisher, year, edition, pages
WILEY , 2018. Vol. 27, no 2, article id e12798
Keywords [en]
cancer; experience; fertility; longitudinal; qualitative; survivorship
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-147431DOI: 10.1111/ecc.12798ISI: 000428321300035PubMedID: 29193408OAI: oai:DiVA.org:liu-147431DiVA, id: diva2:1206543
Note

Funding Agencies|Swedish Cancer Society [2010/877]; Karolinska Institutet faculty funds [6549/10-225]

Available from: 2018-05-17 Created: 2018-05-17 Last updated: 2018-05-17

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf