首页> 外文期刊>Medical and Pediatric Oncology: The Official Journal of the American Association for Cancer Education >Psychosocial aspects of infertility and decisions about reproduction in young cancer survivors: a review.
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Psychosocial aspects of infertility and decisions about reproduction in young cancer survivors: a review.

机译:不育症的社会心理方面以及年轻癌症幸存者的生殖决策:综述。

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BACKGROUND: Several types of cancer treatment interfere with male and female fertility or can complicate pregnancy. Rates of birth defects and cancer have also been studied in the offspring of cancer survivors. Little is known, however, about the impact of a history of cancer on survivors' attitudes, anxieties, and choices about having children of their own. PROCEDURE: We review the relevant literature on cancer survivor's concerns about infertility and childbearing and propose areas for future research. RESULTS: We generate several hypotheses, including that cancer survivors will be more distressed than infertility patients without a major medical disorder, that survivors diagnosed in adolescence will have the most anxieties about parenthood, that women will be more distressed over infertility and more concerned about their children's health than men, that survivors who rate their overall quality of life more negatively will be less concerned about infertility and more apt to decide to forego parenthood, that survivors of inheritable cancer syndromes will have more distress about childbearing issues than other survivors, and that survivors who do have children after treatment will perceive them more positively than do parents who have not confronted cancer. CONCLUSIONS: Research on the emotional aspects of infertility after cancer and on the factors that influence survivors' decisions about having children assumes increasing importance with the growth in number of survivors of reproductive age.
机译:背景:几种类型的癌症治疗会干扰男性和女性的生育能力或使妊娠复杂化。还已经在癌症幸存者的后代中研究了出生缺陷和癌症的发生率。然而,关于癌症史对幸存者的态度,焦虑以及生自己的孩子的选择的影响知之甚少。程序:我们回顾了有关癌症幸存者对不育和生育的担忧的相关文献,并提出了需要进一步研究的领域。结果:我们产生了几种假设,包括癌症幸存者比没有重大医学疾病的不育症患者更痛苦,青春期被诊断出的幸存者对父母的忧虑最为严重,女性将更因不育症而苦恼,并更加担心自己的生育能力。儿童的健康状况要比男性高,对整体生活质量评分较高的幸存者将不那么担心不孕症,而更倾向于决定放弃父母身份;可遗传癌症综合症的幸存者比其他幸存者对生育问题的困扰更大;确实有孩子接受治疗的幸存者比没有患癌症的父母对孩子的看法更积极。结论:随着生育年龄幸存者人数的增加,对癌症后不育症的情感方面以及影响幸存者决定生子的因素的研究变得越来越重要。

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