Psychological Aspects of and Support for Survivors Attempting to Conceive During or After Cancer Treatments: A Mixed-Methods Systematic Review

  • 0Faculty of Health and Well-Being, Kansai University, Suita, Japan.

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Summary

This summary is machine-generated.

Cancer survivors hoping for pregnancy face significant financial, relational, and mental health challenges. Improved access to fertility counseling and reproductive health information is crucial for better support during survivorship.

Area Of Science

  • Oncology
  • Reproductive Medicine
  • Psychological Sciences

Background

  • Medical advancements are increasing pregnancy options for cancer patients during and after treatment.
  • Cancer diagnosis profoundly impacts patients desiring to conceive, affecting their psychological well-being.
  • Survivors and their families require enhanced support systems to navigate fertility concerns post-cancer.

Purpose Of The Study

  • To explore the psychological aspects of cancer diagnosis for patients considering pregnancy.
  • To identify methods for improving support for cancer survivors and their families regarding fertility.
  • To understand the challenges faced by cancer survivors attempting to conceive.

Main Methods

  • A systematic literature review was performed in May 2023.
  • Six electronic databases (PubMed, Web of Science, Cochrane Library, PsycINFO, Ichushi-Web, CINAHL) were searched.
  • Included studies were published in English or Japanese (with English abstracts) between January 1, 2001, and May 10, 2023.

Main Results

  • Twenty studies met the inclusion criteria, revealing significant financial, relational, and mental health burdens for survivors trying to conceive.
  • Many cancer survivors require fertility counseling but have limited access to it.
  • Survivors experience physical, psychological, and social challenges, coupled with insufficient reproductive health information and care access.

Conclusions

  • Cancer survivors face multifaceted burdens when attempting conception, highlighting unmet needs in fertility support.
  • There is a critical need to improve access to fertility counseling and comprehensive reproductive health information for cancer survivors.
  • Healthcare professionals must proactively offer updated information on reproductive medicine and fertility counseling to support survivors' pregnancy goals.