PD52-11 EFFICACY OF STANDARDIZED NURSING FERTILITY COUNSELING ON SPERM BANKING RATES IN CANCER PATIENTS

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Katherine Rotker ◽  
Hari Vigneswaran ◽  
Danly Omil-Lima ◽  
Grayson Baird ◽  
Mark Sigman ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Sperm Banking ◽  
Fertility Counseling

Re: Efficacy of Standardized Nursing Fertility Counseling on Sperm Banking Rates in Cancer Patients

2018 ◽  
Vol 199 (4) ◽  
pp. 879-880
Author(s):  
Craig Niederberger
Keyword(s):  
Cancer Patients ◽  
Sperm Banking ◽  
Fertility Counseling

scholarly journals Young Men With Cancer Experience Low Referral Rates for Fertility Counseling and Sperm Banking

2016 ◽  
Vol 12 (5) ◽  
pp. 465-471 ◽  
Author(s):  
Natalie S. Grover ◽  
Allison M. Deal ◽  
William A. Wood ◽  
Jennifer E. Mersereau
Keyword(s):  
Logistic Regression ◽  
Cancer Patients ◽  
Odds Ratio ◽  
Current Trend ◽  
Young Men ◽  
Reproductive Age ◽  
Median Income ◽  
Sperm Banking ◽  
Multivariable Logistic Regression ◽  
Fertility Counseling

Purpose: With improved cancer survival rates and the current trend of delaying parenthood, fertility is a growing issue among cancer patients. The purpose of this study was to evaluate the incidence of fertility counseling and sperm banking in reproductive-age male cancer patients and to assess factors that influence counseling and banking. Materials and Methods: Male patients ages 13 to 50 years who received a new cancer diagnosis from January 1, 2013, to May 1, 2015, and planned to initiate curative chemotherapy at our center were identified. Documentation of fertility counseling and sperm cryopreservation was abstracted from the medical record. Univariable and multivariable logistic regression modeling was used to examine variables associated with fertility counseling and sperm banking. Results: Of 201 patients who fit the study criteria, 59 (29%) received fertility counseling and 23 (11%) attempted sperm banking. All patients who banked sperm had documentation of fertility counseling. Younger patients were significantly more likely to be counseled, with mean ages of 27.4 and 40.4 years for counseled and noncounseled patients, respectively (P < .001). Among counseled patients, those with a lower median income (P = .038) or who had Medicaid or no insurance (P = .042) were less likely to bank sperm. In a multivariable logistic regression model, older age (5-year odds ratio, 0.61; P < .001) and presence of comorbidities (odds ratio, 0.15; P = .03) remained significantly associated with a lower counseling rate. Conclusion: There is a low rate of fertility counseling and referral for sperm banking in young men with cancer receiving chemotherapy. Further work is needed to develop interventions to improve fertility counseling rates and opportunities for sperm banking.

Efficacy of Standardized Nursing Fertility Counseling on Sperm Banking Rates in Cancer Patients

Urology ◽  
2017 ◽  
Vol 104 ◽  
pp. 90-96 ◽  
Author(s):  
Katherine Rotker ◽  
Hari Vigneswaran ◽  
Danly Omil-Lima ◽  
Mark Sigman ◽  
Kathleen Hwang
Keyword(s):  
Cancer Patients ◽  
Sperm Banking ◽  
Fertility Counseling

scholarly journals Significant Unmet Need in Fertility Counseling and Sperm Cryopreservation in Young Males with Cancer: A Single-Center Analysis

Blood ◽  
2015 ◽  
Vol 126 (23) ◽  
pp. 4488-4488
Author(s):  
Natalie S. Grover ◽  
Allison M. Deal ◽  
Jennifer E. Mersereau ◽  
William A. Wood
Keyword(s):  
Cancer Patients ◽  
Young Male ◽  
Hematologic Malignancies ◽  
Reproductive Age ◽  
Insurance Status ◽  
Sperm Cryopreservation ◽  
Curative Intent ◽  
Sperm Banking ◽  
Fertility Counseling ◽  
Male Patients

Abstract Background: Due to improved cancer survival rates as well as the current trend of delaying childbirth, fertility has become a growing issue among cancer patients. The American Society of Clinical Oncology recommends that oncologists discuss fertility preservation with all patients of reproductive age who are about to initiate treatment that may cause infertility. The purpose of this study was to evaluate the incidence of fertility counseling and sperm banking referral in male cancer patients of reproductive age at our center and to assess whether counseling is influenced by demographics or disease specific factors. Methods: We used the University of North Carolina (UNC) Cancer Registry to identify male patients between the ages of 13-50 who received a new diagnosis of cancer between 1/1/2013 and 1/1/2015 and planned to initiate chemotherapy with curative intent. We excluded patients who initiated chemotherapy outside of UNC. We queried the electronic medical record (EMR) for demographic information such as age, race, insurance status, number of children, marital status, sexual orientation and disease-related variables such as type of cancer, type of treatments, and comorbidities. We reviewed the EMR for documentation of fertility counseling and identified patients who banked sperm at UNC since 1/1/2013. Fisher's Exact and Wilcoxon Rank Sum tests were used to compare characteristics between groups. Additionally, multivariable logistic regression modeling was used to evaluate associations after controlling for age. Results: There were initially 594 male patients identified with new cancer diagnoses, of whom 160 received chemotherapy with curative intent. Of this final cohort of 160 patients, 76 had hematologic malignancies (33 with lymphoma, 30 with acute leukemia, and 13 with other hematologic malignancies). The median age was 42 (40 for hematologic malignancies). 41% of patients had children and 46% were married. Based on chart documentation, 28% of patients were counseled regarding fertility and 13% of patients attempted to bank sperm (46% of those receiving fertility counseling). Rates of counseling and sperm banking were similar for hematologic malignancy patients. Younger patients were significantly more likely to be counseled (p <0.001). Among patients with hematologic malignancies, 51% of patients under 30 years were counseled while 18% of patients ≥ 30 years were counseled (p=0.001). Across all cancer types, insurance type was not associated with fertility counseling (p=0.38) but was associated with attempted sperm banking (p=0.03). Having children, being married, and having a comorbidity were associated with a lower rate of counseling in univariate analysis, but not in multivariate analysis after controlling for age. Conclusions: We found a significant unmet opportunity for fertility counseling and referral for sperm banking in young male cancer patients receiving chemotherapy with curative intent at our center. Low rates of counseling and sperm banking were particularly notable in patients over the age of 30. In addition to barriers in clinical practice, the association between insurance status and sperm banking also suggests a financial barrier to sperm cryopreservation. Further work is needed to develop interventions to improve rates of fertility counseling and opportunities for sperm banking in young male cancer patients. Disclosures Wood: Inform Genomics: Consultancy; Best Doctors: Consultancy.

scholarly journals Efficacy of standardized nursing fertility counseling on sperm banking rates in cancer patients

2015 ◽  
Vol 104 (3) ◽  
pp. e90 ◽  
Author(s):  
K.L. Rotker ◽  
H.T. Vigneswaran ◽  
D. Omil-Lima ◽  
G. Baird ◽  
M. Sigman ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Sperm Banking ◽  
Fertility Counseling

Nurse Practice Issues Regarding Sperm Banking in Adolescent Male Cancer Patients

2006 ◽  
Vol 23 (4) ◽  
pp. 182-188 ◽  
Author(s):  
Jeri F. Reebals ◽  
Richard Brown ◽  
Ellen B. Buckner
Keyword(s):  
Cancer Patients ◽  
Adolescent Male ◽  
Sperm Banking

Subfertility in testicular cancer patients presenting for sperm banking prior to therapy

2004 ◽  
Vol 82 ◽  
pp. S177-S178
Author(s):  
E.R. Eisenberg ◽  
B.R. Gilbert
Keyword(s):  
Testicular Cancer ◽  
Cancer Patients ◽  
Sperm Banking

scholarly journals Male cancer patient sperm cryopreservation for fertility preservation: 10-year monocentric experience

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Xiao Liu ◽  
Bo Liu ◽  
Shasha Liu ◽  
Yang Xian ◽  
Wenrui Zhao ◽  
...  
Keyword(s):  
Germ Cell ◽  
Cancer Patients ◽  
Semen Quality ◽  
Sperm Quality ◽  
Semen Parameters ◽  
Germ Cell Tumours ◽  
Sperm Cryopreservation ◽  
Sperm Banking ◽  
Male Cancer Patient ◽  
Chinese Cancer Patients

Abstract Background Sperm cryopreservation, an effective method for preserving male fertility, is very advantageous for men suffering from cancer. Unfortunately, as both physicians and cancer patients are unaware of the possibilities for sperm cryopreservation, the data on evaluation of semen parameters and disposition of cryopreserved samples among Chinese cancer patients are scarce. Results Male tumours were classified into six major types, germ cell tumours (26 %), haematological neoplasms (28 %), head and neck cancers (19 %), thoracic tumours (4 %), abdominal tumours (10 %), and others (13 %). Haematological neoplasm was the most prevalent cancer among our cohort of patients who opted for sperm banking, followed by germ cell tumours. Patients with germ cell tumours had the lowest pre-thaw and post-thaw seminal sperm concentrations. We separately compared patients with testicular tumours, lymphoma, and leukaemia, and found that leukaemia patients had the lowest pre-thaw sperm concentrations. Most cancer patients (58 %) chose to keep their specimens stored, while 31 % chose to discard the specimens. Over the years, only 13 patients (4 %) returned to use their spermatozoa by assisted reproductive technology. Of the stored samples, patients with germ cell tumours constituted the highest proportion (29.3 %). Moreover, the percentage of haematological neoplasm patients who had no spermatozoa frozen was the highest (46.2 %). Conclusions The present data confirm the deleterious impact of various cancers on semen quality. Leukaemia was associated with the worst semen quality and the highest number of semen samples that could not be frozen. We suggest that sperm quality may have decreased even before anti-neoplastic treatment and that sperm banking before treatment should be strongly recommended for cancer patients. A sperm banking programme before gonadotoxic therapy requires close cooperation between assisted reproduction centres and cancer clinics.

scholarly journals Sperm cryopreservation of male cancer patients for  fertility preservation : 10-year monocentric experience

2021 ◽  
Author(s):  
Xiao Liu ◽  
Bo Liu ◽  
shasha liu ◽  
yang xian ◽  
wenrui zhao ◽  
...  
Keyword(s):  
Germ Cell ◽  
Cancer Patients ◽  
Fertility Preservation ◽  
Sperm Quality ◽  
Germ Cell Tumors ◽  
Semen Parameters ◽  
Sperm Cryopreservation ◽  
Sperm Banking ◽  
Hematological Neoplasms ◽  
Body Regions

Abstract Background: Semen cryopreservation is an effective method to preserve fertility, which is very important for male cancer patients. Unfortunately, due to unaware of the opportunities for sperm cryopreservation for both physicians and cancer patients, not a lot of data on evaluating the semen parameters and dispositions of the cryopreserved samples of Chinese cancer population are available in the literature. Methods: We retrospectively reviewed semen parameters as well as the clinical outcomes of assisted reproductive treatments (ART) of 339 male cancer patients of Chinese population who were referred to our center from 2010 to 2019 for fertility preservation. Results: We first classify the male tumors into six major types according to body regions. The most prevalent cancer patients who came from our cohort for sperm banking were hematological neoplasms patients, and the second cancers were germ cell tumors. Patients with germ cell tumors had the lowest pre- thaw and post-thaw concentration among the six major cancer types. However, we separately compared among testicular tumors, lymphoma and leukemia, it turned out that leukemia had the lowest pre-thaw concentration. Most cancer patients (58%) chose to go on keeping their specimens in storage. The second proportion selected to discard their specimens electively (31%). Over the years, there were only 13 patients (4%) returned to use their sperm by ART. In the storage samples, germ cell tumors were the most proportion ones (29.3%). Moreover, in the unfrozen samples, the percentage of hematological neoplasms were the most (45.5%).Conclusions: To our knowledge, we had owned the most numbers of male cancers who came to sperm bank for fertility conservation in the southwest of China. In our study we suggested that sperm quality could decrease even before antineoplastic treatment and sperm banking prior to treatment should be strongly recommended for male cancer patients. 

scholarly journals Current status of sperm banking for young cancer patients in Japanese nationwide survey

2018 ◽  
Vol 20 (4) ◽  
pp. 336 ◽  
Author(s):  
Yasushi Yumura ◽  
Akira Tsujimura ◽  
Hiroshi Okada ◽  
Kuniaki Ota ◽  
Masahumi Kitazawa ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Nationwide Survey ◽  
Current Status ◽  
Sperm Banking
Sign in / Sign up

Export Citation Format

Share Document