TY - JOUR
T1 - Development of a Pediatric Fertility Preservation Program
T2 - A Report From the Pediatric Initiative Network of the Oncofertility Consortium
AU - Moravek, Molly B.
AU - Appiah, Leslie C.
AU - Anazodo, Antoinette
AU - Burns, Karen C.
AU - Gomez-Lobo, Veronica
AU - Hoefgen, Holly R.
AU - Jaworek Frias, Olivia
AU - Laronda, Monica M.
AU - Levine, Jennifer
AU - Meacham, Lillian R.
AU - Pavone, Mary Ellen
AU - Quinn, Gwendolyn P.
AU - Rowell, Erin E.
AU - Strine, Andrew C.
AU - Woodruff, Teresa K.
AU - Nahata, Leena
N1 - Publisher Copyright:
© 2018 Society for Adolescent Health and Medicine
PY - 2019/5
Y1 - 2019/5
N2 - Infertility is known to decrease quality of life among adults. In some cases, infertility is caused by medical conditions and/or treatments prescribed in childhood, and using methods to protect or preserve fertility may expand future reproductive possibilities. Structured programs to offer counseling about infertility risk and fertility preservation options are essential in the care of pediatric patients facing fertility-threatening conditions or treatments, yet multiple barriers to program development exist. This report was developed from the institutional experiences of members of the Pediatric Initiative Network of the Oncofertility Consortium, with the intent of providing guidance for health care providers aiming to establish programs at institutions lacking pediatric fertility preservation services. The mechanics of building a fertility preservation program are discussed, including essential team members, target populations, fertility preservation options (both established and experimental), survivorship issues, research opportunities, and ethical considerations. Common barriers to program development and utilization, including low referral rates and financial concerns, are also discussed, and recommendations made for overcoming such barriers.
AB - Infertility is known to decrease quality of life among adults. In some cases, infertility is caused by medical conditions and/or treatments prescribed in childhood, and using methods to protect or preserve fertility may expand future reproductive possibilities. Structured programs to offer counseling about infertility risk and fertility preservation options are essential in the care of pediatric patients facing fertility-threatening conditions or treatments, yet multiple barriers to program development exist. This report was developed from the institutional experiences of members of the Pediatric Initiative Network of the Oncofertility Consortium, with the intent of providing guidance for health care providers aiming to establish programs at institutions lacking pediatric fertility preservation services. The mechanics of building a fertility preservation program are discussed, including essential team members, target populations, fertility preservation options (both established and experimental), survivorship issues, research opportunities, and ethical considerations. Common barriers to program development and utilization, including low referral rates and financial concerns, are also discussed, and recommendations made for overcoming such barriers.
KW - Adolescent
KW - Child
KW - Fertility preservation
KW - Program development
KW - Tissue preservation
UR - http://www.scopus.com/inward/record.url?scp=85059837582&partnerID=8YFLogxK
U2 - 10.1016/j.jadohealth.2018.10.297
DO - 10.1016/j.jadohealth.2018.10.297
M3 - Review article
C2 - 30655118
AN - SCOPUS:85059837582
SN - 1054-139X
VL - 64
SP - 563
EP - 573
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 5
ER -