ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
A life put on hold? Navigating fertility-related considerations after cancer in adolescence and young adulthood (AYA).
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Reproductive concerns and fertility intention among reproductive-age Chinese women with breast cancer: A multiple mediation analysis.Asia-Pacific journal of oncology nursing · 2026Article
- Dyadic Latent Profiles of Sexual and Reproductive Distress in Young Adult Cancer Survivors and Their Partners: A Cross-Sectional Analysis.Psycho-oncology · 2026Article
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4 authors.
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Abstract
purposeTo examine fertility-related considerations of patients and survivors diagnosed with cancer during adolescence and young adulthood (AYA). Such fertility-related considerations include perceptions of putting reproductive goals "on hold" and subsequent effects on romantic relationships, parenthood considerations (i.e., arguments for/against having children), fertility-related uncertainty, and fertility-related concerns.
methodsAn online cross-sectional survey was completed by of N = 190 patients/survivors of AYA cancer (M
resultsThe majority of participants (72%) likely wanted to have children. Among them, 46% felt like their reproductive goals were put on hold due to cancer, causing negative emotions and negative effects on romantic relationships (e.g., pressure). Arguments against parenthood were predominantly cancer-specific (e.g., concerns/worries about health risks), but also generic (e.g., loss of freedom, sustainability). Arguments in favor of having children were almost all generic (e.g., meaning making). Fertility-related uncertainty caused negative emotions (e.g., sadness, insecurity, anxiety, feeling less human), and was correlated with various fertility-related concerns (r = .3-.7).
conclusionPerceptions of putting reproductive goals "on hold" can affect well-being and romantic relationships, and fertility-related uncertainty may cause various negative emotions among young cancer patients/survivors. Arguments against parenthood evolve around cancer-specific concerns, which should be addressed by healthcare providers throughout survivorship. Providers are encouraged to provide patient-specific fertility-related education and psychological support if indicated.
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