Knowledge, Attitude, and Practice about Fertility Preservation among Oncologist-A Cross-Sectional Study
Keywords:Attitude, Fertility Preservation, Knowledge, Oncologist
Fertility Preservation is the process of saving or protecting a person’s ability to have children in the future. It is often considered for individuals to undergo medical treatments that may impact their fertility, such as chemotherapy. Hence, the current study is aimed to assess clinical practitioners’ knowledge, practice, and attitude toward fertility preservation among oncologists.
A cross-sectional survey was carried out to identify the current knowledge, attitudes, and practices regarding fertility preservation among oncologists—a total of seventy-nine oncologists in Karachi working in different public and private sectors. The study was conducted between January to August 2022. The data was gathered using a self-designed questionnaire that was distributed via email.
One hundred and eighty oncologists were provided with the survey form via email. The response rate was 47.22% (n=85). Out of which, six questionnaires were excluded due to incomplete information. The total questionnaire analyzed was n=79, which included 58 (73.41%) males and 21 (16.59%) females.
The results revealed that oncologists had a compromised knowledge regarding fertility preservation for cancer patients. Despite weak knowledge, most oncologists believe that more elaborative measures should be taken to overcome this issue.
ESHRE Guideline Group on Female Fertility Preservation, Anderson RA, Amant F, Braat D, D'Angelo A, Chuva de Sousa Lopes SM, Demeestere I, Dwek S, Frith L, Lambertini M, Maslin C. ESHRE guideline: female fertility preservation. Human reproduction open. 2020;2020(4):hoaa052.
Letourneau JM, Wald K, Sinha N, Juarez‐Hernandez F, Harris E, Cedars MI, McCulloch CE, Dolezal M, Chien AJ, Rosen MP. Fertility preservation before breast cancer treatment appears unlikely to affect disease‐free survival at a median follow‐up of 43 months after fertility‐preservation consultation. Cancer. 2020 Feb 1;126(3):487-95.
Santaballa Bertrán A, Márquez Vega C, Rodríguez Lescure Á, Rovirosa Casino Á, Vázquez de la Torre ML, Zeberio Etxetxipia I, Andrés M, Bassas L, Ceballos García E, Domingo del Pozo FJ, Manau Trullàs D. Multidisciplinary consensus on the criteria for fertility preservation in cancer patients. Clinical and translational Oncology, 24 (2), 227-243.2022.
Cao W, Chen HD, Yu YW, Li N, Chen WQ. Changing profiles of cancer burden worldwide and in China: a secondary analysis of the global cancer statistics 2020. Chinese Medical Journal. 2021 Apr 5;134(07):783-91.
Ethics Committee of the American Society for Reproductive Medicine. Fertility preservation and reproduction in cancer patients. Fertil Steril. 2005; 83:1622–8.
Corney RH, Swinglehurst AJ. Young childless women with breast cancer in the UK: a qualitative study of their fertility-related experiences, options, and the information given by health professionals. Psychooncology. 2014; 23:20–6.
Niemasik EE, Letourneau J, Dohan D, Katz A, Melisko M, Rugo H, et al. Patient perceptions of reproductive health counseling at the time of cancer diagnosis: a qualitative study of female California cancer survivors. J Cancer Surviv. 2012;6:324–32.
Szamatowicz M. Assisted reproductive technology in reproductive medicine—possibilities and limitations. Ginekologia polska. 2016;87(12):820-3.
Jensen JR, Morbeck DE, Coddington III CC. Fertility preservation. In Mayo Clinic Proceedings 2011;86(1):45-49. Elsevier.
Ghazeeri G, Zebian D, Nassar AH, Harajly S, Abdallah A, Hakimian S, Skaiff B, Abbas HA, Awwad J. Knowledge, attitudes and awareness regarding fertility preservation among oncologists and clinical practitioners in Lebanon. Human Fertility. 2016 Apr 2;19(2):127-33.
Vesali S, Navid B, Mohammadi M, Karimi E, Omani‐Samani R. Little information about fertility preservation is provided for cancer patients: A survey of oncologists’ knowledge, attitude and current practice. European Journal of Cancer Care. 2019 Jan;28(1):e12947.
Mahey R, Kandpal S, Gupta M, Vanamail P, Bhatla N, Malhotra N. Knowledge and awareness about fertility preservation among female patients with cancer: a cross-sectional study. Obstetrics & gynecology science. 2020 Jul 15;63(4):480-9.
Arafa MA, Rabah DM. Attitudes and practices of oncologists toward fertility preservation. Journal of pediatric hematology/oncology. 2011 Apr 1;33(3):203-7.
Lambertini M, Peccatori FA, Demeestere I, Amant F, Wyns C, Stukenborg JB, Paluch-Shimon S, Halaska MJ, Uzan C, Meissner J, Von Wolff M. Fertility preservation and post-treatment pregnancies in post-pubertal cancer patients: ESMO Clinical Practice Guidelines. Annals of oncology. 2020 Dec 1;31(12):1664-78.
Alshamsan B, Kushnir I, Al‐Saadi S, Srikanthan A. Perceptions and attitudes of medical oncologists regarding fertility preservation and pregnancy in high‐risk cancer patients: A survey among Canadian medical oncologists. Cancer Medicine. 2022 Jul 14.
Wang Y, Anazodo A, Logan S. Systematic review of fertility preservation patient decision aids for cancer patients. Psycho‐Oncology. 2019 Mar;28(3):459-67.
Covelli A, Facey M, Kennedy E, Brezden-Masley C, Gupta AA, Greenblatt E, Baxter NN. Clinicians’ perspectives on barriers to discussing infertility and fertility preservation with young women with cancer. JAMA network open. 2019 Nov 1;2(11):e1914511.
Logan S, Anazodo A. The psychological importance of fertility preservation counseling and support for cancer patients. Acta Obstetricia et Gynecologica Scandinavica. 2019 May;98(5):583-97.
Afolabi BM. Fertility Preservation in Sub-Sahara Africa: Myth or Reality. Journal of Gynecology Research Reviews & Reports. 2020.
How to Cite
Copyright (c) 2023 Batool Hassan, Dr. Nosheen Asim, Dr. Farzana Zafar, Zulekha Saleem
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.