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    • #33270

      I have learned through this week’s assigned readings the vast importance of education and open dialogue concerning fertility preservation. It is of the utmost significance that adolescents and young adults are aware of options available to them prior to the start of any designated treatment. When discussing fertility preservation with adolescents, it is imperative to utilize developmentally appropriate language to ensure comprehension. I marvel at the increased knowledge available surrounding fertility preservation amongst cancer patients, yet also am aware no matter the available options there are unfortunately no guarantees that all patients will meet or obtain their family planning goals. In addition, the overwhelming financial burden of fertility preservation may also present a barrier to patient’s making the decision to move forward with this option. It is encouraging to see the increased advocacy surrounding individual state consideration for coverage of fertility preservation. Reduction of barriers to fertility preservation can hopefully implore supplementary positive outcomes amongst this patient base.

    • #33293


      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.

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