Fertility preservation in female cancer patients in Brazil: perceptions and attitudes of infertility specialists.

Autor:	Ranniger RL; Universidade Estadual Paulista 'Júlio de Mesquita Filho' Faculdade de Medicina de Botucatu Department of Gynecology BotucatuSP Brazil Department of Gynecology, Obstetrics and Mastology, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista 'Júlio de Mesquita Filho', Botucatu, SP, Brazil., Lamaita RM; Universidade Federal de Minas Gerais Department of Gynecology and Obstetrics Belo HorizonteMG Brazil Department of Gynecology and Obstetrics, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.; Mater Dei Department of Assisted Reproduction Belo HorizonteMG Brazil Department of Assisted Reproduction, Mater Dei, Belo Horizonte, MG, Brazil., D'Abreu BF; Universidade Federal de Minas Gerais Department of Gynecology and Obstetrics Belo HorizonteMG Brazil Department of Gynecology and Obstetrics, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Tolentino MR; Mater Dei Department of Assisted Reproduction Belo HorizonteMG Brazil Department of Assisted Reproduction, Mater Dei, Belo Horizonte, MG, Brazil., Cândido EB; Universidade Federal de Minas Gerais Department of Gynecology and Obstetrics Belo HorizonteMG Brazil Department of Gynecology and Obstetrics, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Andrade WP; Universidade Estadual Paulista 'Júlio de Mesquita Filho' Faculdade de Medicina de Botucatu Department of Gynecology BotucatuSP Brazil Department of Gynecology, Obstetrics and Mastology, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista 'Júlio de Mesquita Filho', Botucatu, SP, Brazil., Nogueira-Rodrigues A; Universidade Federal de Minas Gerais Department of Internal Medicine Belo HorizonteMG Brazil Department of Internal Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Silva-Filho AL; Universidade Estadual Paulista 'Júlio de Mesquita Filho' Faculdade de Medicina de Botucatu Department of Gynecology BotucatuSP Brazil Department of Gynecology, Obstetrics and Mastology, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista 'Júlio de Mesquita Filho', Botucatu, SP, Brazil.; Universidade Federal de Minas Gerais Department of Gynecology and Obstetrics Belo HorizonteMG Brazil Department of Gynecology and Obstetrics, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2024 Apr 09; Vol. 46. Date of Electronic Publication: 2024 Apr 09 (Print Publication: 2024).
DOI:	10.61622/rbgo/2024rbgo25
Abstrakt:	Objective: Fertility preservation is a priority in oncology for female cancer patients. However, there is a lack of communication between infertility specialists and oncologists. This study aimed to evaluate infertility specialists' perceptions and experiences regarding fertility preservation. Methods: Conduct an online survey to profile infertility specialists. Participants were infertility affiliated with the Brazilian Federation of Gynecology and Obstetrics Associations (FEBRASGO). The specialists received an online survey, which response rate were 30.9%, most of whom were in southern and southeastern. The survey consisted on 14 questions about the infertility specialists' location, techniques in clinical practice, treatment successful rate, patients idea, etc. Results: The average experience in human reproduction were 15.5 ± 10.2 years (mean ± standard deviation, range 1-40). Among reproductive-aged female cancer patients recommended for fertility preservation, 60.3 ± 28.8% (range 10-100%) underwent preservation procedures. Main barriers were cost (41%), oncologists' knowledge or acceptance (35%) and accessibility (9%). Most infertility specialists (58%) considered 40 years the limit for fertility preservation. Leukemia, lymphoma, breast and ovarian cancers were prioritized for fertility preservation, while lung, thyroid, gastric, and brain cancers were less relevant. Conclusion: This is the first Brazilian study about infertility specialists' perceptions on oncology patients access to fertility preservation. These patients primarily receive treatment in the public health system, while infertility specialists mainly work in the private healthcare. This healthcare mode is currently fragmented, but integrating these experts is enhancing patient access to fertility preservation. Studies on this topic are still warranted. Competing Interests: Conflicts to interest: none to declare. (© 2023. Federação Brasileira de Ginecologia e Obstetrícia. All rights reserved.)
Databáze:	MEDLINE
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