Reasons Why Young Women Accept or Decline Fertility Preservation After Cancer Diagnosis

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
Patricia E HershbergerJennifer Hirshfeld-Cytron

Abstract

To understand young women's reasons for accepting or declining fertility preservation after cancer diagnosis to aid in the development of theory regarding decision making in this context. Qualitative descriptive. Participants' homes or other private location. Twenty-seven young women (mean age, 29 years) diagnosed with cancer and eligible for fertility preservation. Recruitment was conducted via the Internet and in fertility centers. Participants completed demographic questionnaires and in-depth semi-structured interviews. Tenets of grounded theory guided an inductive and deductive analysis. Young women's reasons for deciding whether to undergo fertility preservation were linked to four theoretical dimensions: Cognitive Appraisals, Emotional Responses, Moral Judgments, and Decision Partners. Women who declined fertility preservation described more reasons in the Cognitive Appraisals dimension, including financial cost and human risks, than women who accepted. In the Emotional Responses dimension, most women who accepted fertility preservation reported a strong desire for biological motherhood, whereas women who declined tended to report a strong desire for surviving cancer. Three participants who declined reported reasons linke...Continue Reading

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Citations

Feb 7, 2019·Human Fertility : Journal of the British Fertility Society·Patricia E HershbergerSusan C Klock
Feb 15, 2019·Psycho-oncology·Jessica R GormanH Irene Su
Apr 15, 2017·The Oncologist·Sarah K WalshAnn H Partridge
Apr 24, 2018·Clinical Nursing Research·Sheng-Miauh HuangPing-Ho Chen
Jan 9, 2021·Frontiers in Psychology·Valentina Elisabetta Di MatteiMassimo Candiani

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