I’ve found it is helpful to acknowledge the amount of information the patient and family has been receiving. Most fertility discussions are happening during that up front diagnosis discussions which is overwhelming in itself. I appreciate your mention of asking what the family’s understanding of the meeting is prior to initiating the conversation. The primary team many times introduces the fertility discussion, however, this is often tucked into a larger discussion on diagnosis, consent and treatment plan and therefore can be easily lost. Adding in another decision point for families that includes an additional procedure/appointments can be very overwhelming. By acknowledging this, I think we foster a relationship with the family and normalize their feelings in that moment.

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