Determinants of access to fertility preservation in women with breast cancer.

Sanghoon Lee, Elke Heytens, Fred Moy, Sinan Ozkavukcu, Kutluk Oktay

Research output: Contribution to journalArticle

Abstract

To evaluate socioeconomic, demographic, and medical factors that influence the referral pattern-either before cancer treatment for fertility preservation (FP, early referral) or post-chemotherapy for assisted reproductive technology (PCART, delayed referral)-in women with breast cancer. Secondary analysis. Academic medical centers. Three hundred fourteen patients with breast cancer who were counseled for FP (n=218) or PCART (n=96) from June 1999 to July 2009. None. Factors favoring early referrals. Mean age at diagnosis was higher in FP vs. PCART (35.3±4.5 years vs. 33.9±4.7 years). Ninety percent presented with cancer stage 1 or 2. From 2000 to 2009 the proportion of referrals for FP increased continually. In 2009, nearly all (95.5%) were for FP. The majority (63.8%) was referred from an academic center. Patients with a family history of breast cancer were more likely to consult for FP (75.2% vs. 64.3% without). There was no association with occupation, income, race, ethnicity, obstetric history, and prior infertility treatment. Only 22.9% of those counseled in PCART, compared with 45.0% in the FP group, proceeded with a procedure. There has been an increasing trend within the last 10 years for early referral of breast cancer patients to FP. Factors favoring early referrals are older age, early-stage cancer, family history of breast cancer, and academic center involvement. Those seen before cancer treatment are more likely to receive an intervention.

Original languageEnglish
Pages (from-to)1932-1936
Number of pages5
JournalFertility and Sterility
Volume95
Issue number6
Publication statusPublished - 2011 May 1
Externally publishedYes

Fingerprint

Fertility Preservation
Referral and Consultation
Breast Neoplasms
Neoplasms
Assisted Reproductive Techniques
Occupations
Infertility
Obstetrics
Therapeutics
History
Demography
Drug Therapy

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

Lee, S., Heytens, E., Moy, F., Ozkavukcu, S., & Oktay, K. (2011). Determinants of access to fertility preservation in women with breast cancer. Fertility and Sterility, 95(6), 1932-1936.

Determinants of access to fertility preservation in women with breast cancer. / Lee, Sanghoon; Heytens, Elke; Moy, Fred; Ozkavukcu, Sinan; Oktay, Kutluk.

In: Fertility and Sterility, Vol. 95, No. 6, 01.05.2011, p. 1932-1936.

Research output: Contribution to journalArticle

Lee, S, Heytens, E, Moy, F, Ozkavukcu, S & Oktay, K 2011, 'Determinants of access to fertility preservation in women with breast cancer.', Fertility and Sterility, vol. 95, no. 6, pp. 1932-1936.
Lee S, Heytens E, Moy F, Ozkavukcu S, Oktay K. Determinants of access to fertility preservation in women with breast cancer. Fertility and Sterility. 2011 May 1;95(6):1932-1936.
Lee, Sanghoon ; Heytens, Elke ; Moy, Fred ; Ozkavukcu, Sinan ; Oktay, Kutluk. / Determinants of access to fertility preservation in women with breast cancer. In: Fertility and Sterility. 2011 ; Vol. 95, No. 6. pp. 1932-1936.
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