I appreciate your thoughts on developmentally appropriate conversation. There is a range of patients who can understand what a healthcare professional is saying, but the comprehension around fertility and the options available to them can be a difficult path to navigate.
We, I am sure, have all seen the teenage AYA patient who cares very deeply for their family and often helps support them in ways. These patients are at a huge risk of refusal of any fertility preservation available simply because of the cost and knowing that it would take away from another aspect in their family’s lives. It had recently come up in a different topic while at work about the families who appear to be financially stable. Even these families can struggle if, down the road, the cancer treatment and needs continue for extended periods of time. Many of these families could have made a decision to pay for fertility preservation but run into financial situations later down the road.