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Journal of Cancer Survivorship
Erschienen in: Journal of Cancer Survivorship 5/2016

18.02.2016

A comparison of heterosexual and LGBTQ cancer survivors’ outlooks on relationships, family building, possible infertility, and patient-doctor fertility risk communication

verfasst von: Andrea M. Russell, Kathleen M. Galvin, Maya M. Harper, Marla L. Clayman

Erschienen in: Journal of Cancer Survivorship | Ausgabe 5/2016

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Abstract

Purpose

Little research about cancer-related infertility has examined the experiences and needs of lesbian, gay, bisexual, transgender, or queer (LGBTQ) cancer survivors. This research seeks to understand how LGBTQ survivors are similar to or different from heterosexual survivors with respect to cancer treatments’ effects on relationships, plans for parenthood, and fertility preservation decision making.

Methods

Semi-structured telephone interviews conducted with adolescent or young adult (AYA) cancer survivors (n = 56) were coded for themes. Interviews consisted of questions about pre- and post-diagnosis thoughts about relationships, parenthood, possible infertility, and how information about fertility risks was received.

Results

While LGBTQ (n = 22) and heterosexual (n = 34) survivors reported similar challenges when dating post-diagnosis, heterosexual survivors were more likely to report fertility concerns as affecting romantic relationships (p < .05). LGBTQ survivors seemed more open to raising non-biological children or not becoming a parent than heterosexual survivors. LGBTQ survivors generally reported being satisfied with or indifferent to the information that they were given regarding fertility loss, despite reporting receiving similar amounts of information as compared to heterosexual patients (p < .10).

Conclusions

LGBTQ patients’ views on relationships, parenthood, and family building seemed to result in less distress when faced with infertility. However, interventions facilitating information exchange about dating, fertility risks, and family building options may be valuable to LGBTQ and heterosexual cancer survivors.

Implications for Cancer Survivors

LGBTQ cancer survivors may display more adaptive coping with respect to relationships and fertility loss. Oncology professionals may want to proactively introduce positive coping strategies to reduce distress among AYA cancer survivors at risk for infertility.
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Metadaten
Titel
A comparison of heterosexual and LGBTQ cancer survivors’ outlooks on relationships, family building, possible infertility, and patient-doctor fertility risk communication
verfasst von
Andrea M. Russell
Kathleen M. Galvin
Maya M. Harper
Marla L. Clayman
Publikationsdatum
18.02.2016
Verlag
Springer US
Erschienen in
Journal of Cancer Survivorship / Ausgabe 5/2016
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-016-0524-9

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