Fertility preservation and mental health among cancer patients of reproductive age

IF 7 1区医学 Q1 OBSTETRICS & GYNECOLOGY

Fertility and sterility Pub Date : 2025-10-01 DOI:10.1016/j.fertnstert.2025.07.007

Julia Stal Ph.D. , Catherine Benedict Ph.D. , Ann H. Partridge M.D., M.P.H. , Cristina Pozo-Kaderman Ph.D. , Jennifer W. Mack M.D., M.P.H

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引用次数: 0

Abstract

Many cancer patients and survivors of reproductive age report parenthood as one of their most important life goals. As a result, infertility, interruption to childbearing, or inability to conceive can have profound negative mental health impacts for this population, who often report fertility-related distress, depression, anxiety, and reproductive concerns. Most patients who preserve fertility report feeling confident in their decision, even if preservation outcomes are not favorable, whereas patients who do not preserve fertility report higher rates of decisional regret. Integrating mental health into clinical models of oncofertility care delivery is critical to ensure that patients with new, persistent, or worsening psychological symptoms are captured and appropriately cared for. We aim to underscore the importance of supportive mental health care provided in tandem with reproductive health care for reproductive-aged cancer patients and survivors before, during, and after treatment.

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育龄癌症患者的生育能力保存与心理健康

许多癌症患者和育龄幸存者表示，为人父母是他们最重要的人生目标之一。因此，不孕症、生育中断或无法怀孕会对这一人群的心理健康产生深远的负面影响，他们经常报告与生育有关的痛苦、抑郁、焦虑和生殖问题。大多数保留生育能力的患者报告对他们的决定充满信心，即使保留结果并不有利，而不保留生育能力的患者报告的决定后悔率更高。将心理健康纳入不孕不育护理的临床模式，对于确保新出现、持续或恶化的心理症状的患者得到捕获和适当照顾至关重要。我们的目标是强调支持性心理保健与生殖保健相结合的重要性，为育龄癌症患者和幸存者在治疗之前、期间和之后提供生殖保健。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Fertility and sterility 医学-妇产科学

CiteScore

11.30

自引率

6.00%

发文量

1446

审稿时长

31 days

期刊介绍： Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.