Exploring onco-fertility perceptions in India: a narrative review of psychosocial factors and implications for patients well-being
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20240921Keywords:
Onco-fertility, Cancer survivors, Fertility preservation, Psychosocial factors, Decision-making, Perceptions in India, Comprehensive careAbstract
Onco-fertility, the confluence of cancer and fertility preservation, is vital in modern healthcare. As global cancer survival rates rise, more patients aim to overcome cancer and safeguard their reproductive potential. This review explores onco-fertility in India, emphasizing psychosocial factors. It acknowledges cancer's profound implications on fertility, stressing informed decision-making and comprehensive care for dual challenges. The review explores various preservation options for both genders, highlighting India's evolving landscape. India's onco-fertility landscape, driven by rising cancer diagnoses and disparities, needs tailored services. Understanding psychosocial factors is crucial for addressing emotional distress, cultural contexts, and communication barriers. This review delves into factors influencing decisions and well-being, informing practices to better serve Indian cancer patients. Examining psychological distress and decision-making in balancing treatment and fertility preservation, it explores cultural, religious, and ethical considerations. It underscores the need for comprehensive psychosocial support. Addressing psychosocial factors is vital for enhancing cancer survivors' quality of life. The review emphasizes bridging information gaps, providing emotional support, promoting informed decision-making, and fostering collaboration. It calls for further research and initiatives to advance onco-fertility support, considering India's diverse psychosocial landscape.
References
Gowda S, Thippeswamy H, Chaturvedi S. Psychosocial needs of cancer survivors in fertility preservation: A systematic review. Onco Fertil J. 2018;1:24.
Logan S, Anazodo A. The psychological importance of fertility preservation counseling and support for cancer patients. Acta Obstet Gynecol Scand. 2019;98:583-97.
Mahajan N, Patil M, Kaur S, Kaur S, Naidu P. The role of Indian gynecologists in oncofertility care and counselling. J Hum Reprod Sci. 2016;9:179.
WHO Team Sexual and Reproductive Health and Research. Infertility prevalence estimates. 2023. Available at: https://www.who.int/publications/i/ item/978920068315. Accessed on 24 December 2023.
Kumar N, Choudhari AR, Singh AK. Prevalence of Male Factor Infertility in Last Ten Years at a Rural Tertiary Care Centre of Central India: A Retrospective Analysis. Indian J Obstet Gynaecol Res. 2015;2:132-6.
Sathishkumar K, Chaturvedi M, Das P, Stephen S, Mathur P. Cancer incidence estimates for 2022 & projection for 2025: Result from National Cancer Registry Programme, India. Indian J Med Res. 2022;156(4&5):598-607.
Chaturvedi S. Clinical Psycho Oncology-Indian Perspectives and Research. First Edition. Self-published by Dr Santosh K Chaturvedi. 2021.
Wide A, Wettergren L, Ahlgren J, Smedby KE, Hellman K, Henriksson R, et al. Fertility-related information received by young women and men with cancer - a population-based survey. Acta Oncol. 2021;60(8):976-83.
IFS, Supported by AstraZeneca Pharma Ltd. International And National Review Of Uptake Of Oncofertility. Oncofertil Communic. 2019;1.
Melan K, Amant F, Veronique-Baudin J, Joachim C, Janky E. Fertility preservation healthcare circuit and networks in cancer patients worldwide: What are the issues? BMC Cancer. 2018;18:1-9.
Jones G, Hughes J, Mahmoodi N, Smith E, Skull J, Ledger W. What factors hinder the decision-making process for women with cancer and contemplating fertility preservation treatment? Hum Reprod Update. 2017;23(4):433-57.
Kaul Mahajan N, Patil M, Jirge P. Fertility preservation for patients on gonadotoxic treatment: Recommendations for clinical practice by Fertility Preservation Society (India). Onco Fertil J. 2020;3:48.
Hong YH, Park C, Paik H, Lee KH, Lee JR, Han W, Park S, Chung S, Kim HJ. Fertility Preservation in Young Women With Breast Cancer: A Review. J Breast Cancer. 2023;26(3):221-42.
Chaturvedi SK, Strohschein FJ, Saraf G, Loiselle CG. Communication in cancer care: psycho-social, interactional, and cultural issues. A general overview and the example of India. Front Psychol. 2014;5:1332.
Hanselin MR, Roybal DL, Leininger TB. Ethics and Oncofertility: A Call for Religious Sensitivity. J Oncol Pract. 2017;13(7):e582-9.
Carvalho BR, Kliemchen J, Woodruff TK. Ethical, moral and other aspects related to fertility preservation in cancer patients. JBRA Assist Reprod. 2017;21(1):45-8.
Basco D, Campo-Engelstein L, Rodriguez S. Insuring against infertility: expanding state infertility mandates to include fertility preservation technology for cancer patients. J Law Med Ethics. 2010;38(4):832-9.
Carr AL, Roberts S, Bonnell LN, Kolva E. Existential distress and meaning making among female breast cancer patients with cancer-related fertility concerns. Palliat Support Care. 2022;1-9.
Lawson AK, Klock SC, Pavone ME, Hirshfeld-Cytron J, Smith KN, Kazer RR. Psychological Counseling of Female Fertility Preservation Patients. J Psychosoc Oncol. 2015;33(4):333-53.
Kim J, Deal AM, Balthazar U, Kondapalli LA, Gracia C, Mersereau JE. Fertility preservation consultation for women with cancer: are we helping patients make high-quality decisions? Reprod Biomed Online. 2013;27(1):96-103.
Srishti. Infertility and Patriarchy in India: Causes and Consequences. Int J Health Sci Res. 2023;13:2249-71.
Xiao Y, Li J, Lei J, Li X, Hu M, Zhao J, et al. Qualitative study of the fertility information support experiences of young breast cancer patients. Eur J Oncol Nurs. 2023;62:102275.
Tholeti P, Uppangala S, Bhat V, Udupa KS, Kumar V, Patted S, et al. Oncofertility: Knowledge, Attitudes, and Barriers Among Indian Oncologists and Gynecologists. J Adolesc Young Adult Oncol. 2021;10(1):71-7.
Armuand GM, Rodriguez-Wallberg KA, Wettergren L, Ahlgren J, Enblad G, Höglund M, et al. Sex differences in fertility-related information received by young adult cancer survivors. J Clin Oncol. 2012;30(17):2147-53.
Tholeti P, Uppangala S, Jayaram RK, Udupa KS, Kalthur G, Spears N, et al. Oncofertility awareness among primary care physicians in India. F1000Res. 2023;12:153.
Di Mattei VE, Perego G, Rancoita PMV, Taranto P, Carnelli L, Mangili G, et al. Psychological Aspects Associated With Fertility Preservation in Oncology: An Exploratory Study. Front Psychol. 2020;11:608651.
Anazodo A, Laws P, Logan S, Saunders C, Travaglia J, Gerstl B, et al. How can we improve oncofertility care for patients? A systematic scoping review of current international practice and models of care. Hum Reprod Update. 2019;25(2):159-79.
Huang SM, Kao TS, Lien PJ, Hsieh PL, Chen PH, Tseng LM. Oncofertility care: A qualitative study to understand personal perspectives and barriers in the multidisciplinary breast care team in Taiwan. Womens Health (Lond). 2022;18:17455057221078480.
Arora R. Ethical, Logistic and Legal Aspects of Fertility Preservation. Indian Infertility Society. Available at: https://indianfertilitysociety.org/pdf/ Oncofertilty%20-%20Vol%203.pdf. Accessed on 18 January 2024.
Martinez-Ibarra NA, Remolina-Bonilla YA, Buerba-Vieregge HH, Barragan-Carrillo R, Castro-Alonso FJ, Mateos-Corella S, et al. Oncofertility and Fertility Preservation in Cancer Patients Across the Twitterverse. Front Endocrinol (Lausanne). 2022;13:926668.
Micaux C, Wiklander M, Eriksson LE, Wettergren L, Lampic C. Efficacy of a Web-Based Psychoeducational Intervention for Young Adults With Fertility-Related Distress Following Cancer (Fex-Can): Randomized Controlled Trial. JMIR Cancer. 2022;8(1):e33239.
Ethics Committee of the American Society for Reproductive Medicine. Fertility preservation and reproduction in cancer patients. Fertil Steril. 2005;83(6):1622-8.
Arora R. Ethical, Logistic and Legal Aspects of Fertility Preservation. Indian Infertility Society. Available at: https://indianfertilitysociety.org/pdf/Oncofertilty%20-%20Vol%203.pdf. Accessed on 18 January 2024.
Gracia CR, Gracia JJ, Chen S. Ethical dilemmas in oncofertility: an exploration of three clinical scenarios. Cancer Treat Res. 2010;156:195-208.
Weis J. Support groups for cancer patients. Support Care Cancer. 2003;11:763-8.
