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Author Notes:

Corresponding author: Helen B. Chin, PhD, MPH, Postdoctoral Fellow, Epidemiology Branch, 111 T W Alexander Drive, National Institute of Environmental Health Sciences, Mailstop A3-05, Research Triangle Park, NC 27709, Tel. 919-541-5004 helen.chin@nih.gov

The authors would like to thank Amy Fothergill for all data inquiries and support on the paper.

The authors have no conflicts of interest to report.


Research Funding:

The Eunice Kennedy Shriver National Institute of Child Health and Human Development Grant 1R01HD066059 and Reproductive, Perinatal, & Pediatric Training Grant T32HD052460, and the Health Resources and Service Administration Training Grant T03MC07651-06 provided funding for this research.

This research was supported in part by the Intramural Research Program of the NIH, National Institute of Environmental Health Sciences.


  • Science & Technology
  • Life Sciences & Biomedicine
  • Obstetrics & Gynecology
  • Reproductive Biology
  • Cancer survivors
  • fertility counseling
  • female fertility

Which female cancer patients fail to receive fertility counseling before treatment in the state of Georgia?


Journal Title:

Fertility and Sterility


Volume 106, Number 7


, Pages 1763-+

Type of Work:

Article | Post-print: After Peer Review


Objective To assess which characteristics are associated with failure to receive fertility counseling among a cohort of young women diagnosed with cancer. Design Population-based cohort study. Setting Not applicable. Patient(s) A total of 1,282 cancer survivors, of whom 1,116 met the inclusion criteria for the analysis. Intervention(s) None. Main Outcome Measure(s) The main outcome in this study was whether or not women reported receiving any information at the time of their cancer diagnosis on how cancer treatment might affect their ability to become pregnant. Result(s) Forty percent of cancer survivors reported that they did not receive fertility counseling at the time of cancer diagnosis. Women were more likely to fail to receive counseling if they had only a high school education or less or if they had given birth. Cancer-related variables that were associated with a lack of counseling included not receiving chemotherapy as part of treatment and diagnosis with certain cancer types. Conclusion(s) Counseling about the risk of infertility and available fertility preservation options is important to cancer patients. Additionally, counseling can make women aware of other adverse reproductive outcomes, such as early menopause and its associated symptoms. Less-educated women and parous women are at particular risk of not getting fertility-related information. Programs that focus on training not just the oncologist, but also other health care providers involved with cancer care, to provide fertility counseling may help to expand access.

Copyright information:

© 2016 American Society for Reproductive Medicine

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