Healthy teens raise fertility concerns from threat of disease; researchers validate quality-of-life assessment tool
Researchers at Moffitt Cancer Center and colleagues have found that healthy adolescent females have predetermined expectations for becoming parents in the future, but have concerns about fertility and childbearing should they develop a life-threatening illness, such as cancer.
The study appeared in the February issue of the Journal of Adolescent Health.
According to the researchers, this study helped further validate a tool that seeks to understand teenage girls' hopes and feelings about reproduction, especially when fertility is threatened by cancer. The participants were given the same survey tool previously used to determine the values and hopes of female adolescents who had cancer diagnoses. The researchers included healthy controls to compare their responses to those of teens who have been diagnosed with cancer and whose fertility may be at risk.
"This study sought to examine if girls who did not have cancer wanted to have children in the future and determine if they would feel negatively about losing the ability to have a biological child due to a life-threatening illness, such as cancer," said study lead author Gwendolyn P. Quinn, Ph.D., member of the Health Outcomes and Behavior Program at Moffitt. "We found that teen girls with cancer had the same hopes and dreams for the future as their healthy peers."
The researchers suggested that their data could demonstrate to health care professionals that the desire to have children does not change with a cancer diagnosis and could serve to "motivate health professionals to discuss fertility and preservation options with more of their teen patients in the future," issues rarely discussed among the age groups tested.
Control group participants included 25 female adolescents ages 12 to 18. They were divided into two age groups: 12 to 14, and 15 to 18. A 10-statement survey was designed to elicit responses about if a participant would feel sad, disappointed or frustrated if facing fertility impairment. Participants were also allowed to write about their feelings. Each provided feedback on the research tool, commenting on the types of statements and wording of questions.