I think starting with the parents is always the best option when discussing fertility preservation with prepubertal children. I loved your idea about including dolls and coloring sheets to explain the process to the children as long as the parents are agreeable to this. I know some parents may not even feel comfortable with the discussion being held with prepubertal children at all.

I was curious about checking in with patients during their treatment process about fertility preservation though, as it may no longer be feasible to seek fertility preservation once the treatment has started. Would the check ins primarily be to ensure that patients are understanding of their initial decision or so they can be aware of future decisions after survivorship?


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