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Erschienen in: Journal of Cancer Survivorship 2/2011

01.06.2011

Infertility, cancer, and changing gender norms

verfasst von: Shauna Gardino, Sarah Rodriguez, Lisa Campo-Engelstein

Erschienen in: Journal of Cancer Survivorship | Ausgabe 2/2011

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Abstract

Introduction

Recent improvements in cancer detection, treatment, and technology have increased survivorship rates. These same life-saving treatments, however, can lead to infertility or sterility. Oncofertility, an emerging field at the intersection of cancer and oncology, centers on providing cancer patients with the potential to preserve their biological fertility.

Methods

We examine the history of how men and women have been treated for infertility and analyze contemporary studies of how women without cancer respond to infertility.

Results

Both female and male cancer patients and survivors value their fertility, although there is conflicting evidence on the degree to which women and men value fertility. Some studies have found that women and men value their fertility equally while others found that women value their fertility more than men. Gendered norms around fertility and parenthood seem to be changing, which may minimize these discrepancies.

Discussions/conclusions

Although oncofertility is a nascent field, infertility is a historically relevant medical condition that is characterized by gendered narratives and norms. An analysis of the historical evolution of the understanding and treatment of infertility leads insight into modern conceptualizations of infertility both generally and in the case of cancer. Understanding these historical and current gendered influences helps to define the current context in which cancer patients are confronting potential infertility.

Implications for cancer survivors

The insight gained from this analysis can be used to inform clinical practice, offering guidance to healthcare providers approaching cancer patients about potential infertility, regardless of gender.
Fußnoten
1
White, middle-class, heterosexual married couples are the most common participants of many empirical studies on infertility in part because they are the social group most likely to seek out infertility treatment. In the last handful of years, however, more research has been done on people of color and infertility. See, for example, Becker et al., Jain, and White et al.
 
2
Having a rectal exam ranks fourth. While this experience does not directly deal with male sexuality, being penetrated is usually associated with women, which is in part why this experience is humiliating.
 
Literatur
1.
Zurück zum Zitat Horner, MJ, Ries LAG, Krapcho M, Neyman N, Aminou R, Howlader N, Altekruse SF, Feuer EJ, Huang L, Mariotto A, Miller BA, Lewis DR, Eisner MP, Stinchcomb DG, Edwards BK, editors. SEER Cancer Statistics Review, 1975–2006, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2006/, based on November 2008 SEER data submission, posted to the SEER web site, 2009. Horner, MJ, Ries LAG, Krapcho M, Neyman N, Aminou R, Howlader N, Altekruse SF, Feuer EJ, Huang L, Mariotto A, Miller BA, Lewis DR, Eisner MP, Stinchcomb DG, Edwards BK, editors. SEER Cancer Statistics Review, 1975–2006, National Cancer Institute. Bethesda, MD, http://​seer.​cancer.​gov/​csr/​1975_​2006/​, based on November 2008 SEER data submission, posted to the SEER web site, 2009.
2.
Zurück zum Zitat Jeruss JS, Woodruff TK. Preservation of fertility in patients with cancer. N Engl J Med. 2009;360(9):902–11.PubMedCrossRef Jeruss JS, Woodruff TK. Preservation of fertility in patients with cancer. N Engl J Med. 2009;360(9):902–11.PubMedCrossRef
3.
Zurück zum Zitat Schover LR, Rubicki LA, Martin BA, Bringelsen KA. Having children after cancer. A pilot survey of survivors’ attitudes and experiences. Cancer. 1999;86:697–709.PubMedCrossRef Schover LR, Rubicki LA, Martin BA, Bringelsen KA. Having children after cancer. A pilot survey of survivors’ attitudes and experiences. Cancer. 1999;86:697–709.PubMedCrossRef
4.
Zurück zum Zitat Wasserman AL, Thompson EI, Wilimas JA, Fairclough DL. The psychological status of survivors of childhood/adolescent Hodgkin’s Disease. AJDC. 1987;141:626–31.PubMed Wasserman AL, Thompson EI, Wilimas JA, Fairclough DL. The psychological status of survivors of childhood/adolescent Hodgkin’s Disease. AJDC. 1987;141:626–31.PubMed
5.
Zurück zum Zitat Zelter LK. Cancer in adolescents and young adults: psychosocial aspects in long-term survivors. Cancer. 1993;71 Suppl 10:3463–8.CrossRef Zelter LK. Cancer in adolescents and young adults: psychosocial aspects in long-term survivors. Cancer. 1993;71 Suppl 10:3463–8.CrossRef
6.
Zurück zum Zitat Patridge AH, Gelber S, Peppercorn J, Sampson E, Knudsen K, Laufer M, et al. Web-based survey of fertility issues in young women with breast cancer. J Clin Oncol. 2004;22:4174–83.CrossRef Patridge AH, Gelber S, Peppercorn J, Sampson E, Knudsen K, Laufer M, et al. Web-based survey of fertility issues in young women with breast cancer. J Clin Oncol. 2004;22:4174–83.CrossRef
7.
Zurück zum Zitat Rieker PP, Fitzgerald EM, Kalish LA. Adaptive behavioral responses to potential infertility among survivors of testis cancer. J Clin Oncol. 1990;8:347–55.PubMed Rieker PP, Fitzgerald EM, Kalish LA. Adaptive behavioral responses to potential infertility among survivors of testis cancer. J Clin Oncol. 1990;8:347–55.PubMed
8.
Zurück zum Zitat Green DH, Galvin H, Horne B. The psycho-social impact of fertility on young male cancer survivors: a qualitative investigation. Psychooncology. 2003;12:141–52.PubMedCrossRef Green DH, Galvin H, Horne B. The psycho-social impact of fertility on young male cancer survivors: a qualitative investigation. Psychooncology. 2003;12:141–52.PubMedCrossRef
9.
Zurück zum Zitat Zebrack BJ, Casillas J, Nohr L, Adams H, Zelter LK. Fertility issues for young adult survivors of childhood cancer. Psychooncology. 2004;13:689–99.PubMedCrossRef Zebrack BJ, Casillas J, Nohr L, Adams H, Zelter LK. Fertility issues for young adult survivors of childhood cancer. Psychooncology. 2004;13:689–99.PubMedCrossRef
10.
Zurück zum Zitat Crawshaw MA, Sloper P. ‘Swimming against the tide’—the influence of fertility matters on the transition to adulthood or survivorship following adolescent cancer. Eur J Cancer Care. 2010 Jan 19, Epub ahead of print. Crawshaw MA, Sloper P. ‘Swimming against the tide’—the influence of fertility matters on the transition to adulthood or survivorship following adolescent cancer. Eur J Cancer Care. 2010 Jan 19, Epub ahead of print.
11.
Zurück zum Zitat Apple RD, Golden J. Introduction. In: Apple RD, Golden J, editors. Mothers and motherhood: readings in American history. (PAGES) Columbus: Ohio State University Press; 1997. Apple RD, Golden J. Introduction. In: Apple RD, Golden J, editors. Mothers and motherhood: readings in American history. (PAGES) Columbus: Ohio State University Press; 1997.
12.
Zurück zum Zitat Marsh M, Ronner, W. The empty cradle: infertility in America from Colonial times to the present. Johns Hopkins University Press. 1996. Marsh M, Ronner, W. The empty cradle: infertility in America from Colonial times to the present. Johns Hopkins University Press. 1996.
13.
Zurück zum Zitat May ET. Barren in the promised land: childless Americans and the pursuit of happiness. New York: Basic Books; 1995. May ET. Barren in the promised land: childless Americans and the pursuit of happiness. New York: Basic Books; 1995.
14.
Zurück zum Zitat Davis DC, Dearman CN. Coping strategies of infertile women. J Obstet Gynecol Neonatal Nurs. 1991;20(3):221–8.PubMedCrossRef Davis DC, Dearman CN. Coping strategies of infertile women. J Obstet Gynecol Neonatal Nurs. 1991;20(3):221–8.PubMedCrossRef
15.
Zurück zum Zitat Domar A, Zuttermeister P, Friedman R. The psychological impact of infertility: a comparison of patients with other medical conditions. J Psychosom Obstet Gynaecol. 1993;14(Special Issue):45–52.PubMed Domar A, Zuttermeister P, Friedman R. The psychological impact of infertility: a comparison of patients with other medical conditions. J Psychosom Obstet Gynaecol. 1993;14(Special Issue):45–52.PubMed
16.
Zurück zum Zitat Lukse MD, Vacc NA. Grief, depression, and coping in women undergoing infertility treatment. Obstet Gynecol. 1999;93(2):245–51.PubMedCrossRef Lukse MD, Vacc NA. Grief, depression, and coping in women undergoing infertility treatment. Obstet Gynecol. 1999;93(2):245–51.PubMedCrossRef
17.
Zurück zum Zitat Letherby G. Challenging dominant discourses: Identity and change and the experience of ‘infertility’ and ‘involuntary childlessness’. J Gend Stud. 2002;11:277–88. ref. on pg. 279.CrossRef Letherby G. Challenging dominant discourses: Identity and change and the experience of ‘infertility’ and ‘involuntary childlessness’. J Gend Stud. 2002;11:277–88. ref. on pg. 279.CrossRef
18.
Zurück zum Zitat Carter J, Rowland K, Chi D, et al. Gynecologic cancer treatment and the impact of cancer-related infertility. Gynecol Oncol. 2005;97:90–5.PubMedCrossRef Carter J, Rowland K, Chi D, et al. Gynecologic cancer treatment and the impact of cancer-related infertility. Gynecol Oncol. 2005;97:90–5.PubMedCrossRef
19.
Zurück zum Zitat Lee SJ, Schover LR, Partridge AH, Patrizio P, Wallace WH, Hagerty K, et al. American society of clinical oncology recommendations on fertility preservation in cancer patients. J Clin Oncol. 2006;24(18):2917–31.PubMedCrossRef Lee SJ, Schover LR, Partridge AH, Patrizio P, Wallace WH, Hagerty K, et al. American society of clinical oncology recommendations on fertility preservation in cancer patients. J Clin Oncol. 2006;24(18):2917–31.PubMedCrossRef
20.
Zurück zum Zitat Blech GM. The Practitioner’s guide to the diagnosis and treatment of diseases of women. Chicago: M. Robertson; 1903. Blech GM. The Practitioner’s guide to the diagnosis and treatment of diseases of women. Chicago: M. Robertson; 1903.
21.
Zurück zum Zitat Gurevich M, Bishop S, Bower J, Malka M, Nyhof-Young J. (Dis)embodying gender and sexuality in testicular cancer. Soc Sci Med. 2004;58:1597–607.PubMedCrossRef Gurevich M, Bishop S, Bower J, Malka M, Nyhof-Young J. (Dis)embodying gender and sexuality in testicular cancer. Soc Sci Med. 2004;58:1597–607.PubMedCrossRef
22.
Zurück zum Zitat Szasz I. Masculine identity and the meanings of sexuality: a review of research in Mexico. Reprod Health Matters. 1998;6(12):97–104.CrossRef Szasz I. Masculine identity and the meanings of sexuality: a review of research in Mexico. Reprod Health Matters. 1998;6(12):97–104.CrossRef
23.
Zurück zum Zitat Mormon MT. The influence of fear appeals, message design, and masculinity on men’s motivation to perform the testicular self-exam. J Appl Commun Res. 2000;28:81–116. Mormon MT. The influence of fear appeals, message design, and masculinity on men’s motivation to perform the testicular self-exam. J Appl Commun Res. 2000;28:81–116.
24.
Zurück zum Zitat Greil AL. Not yet pregnant: infertility couples in contemporary America. New Brunswick: Rutgers University Press; 1991. Greil AL. Not yet pregnant: infertility couples in contemporary America. New Brunswick: Rutgers University Press; 1991.
25.
Zurück zum Zitat Inhorn MC. Sexuality, masculinity, and infertility in Egypt: potent troubles in the Maritaland medical encounters. Special Issue on “African Masculinities,” Lahoucine Ouzgane, editor. Journal of Men’s Studies. 2002;10(3):343–359. Inhorn MC. Sexuality, masculinity, and infertility in Egypt: potent troubles in the Maritaland medical encounters. Special Issue on “African Masculinities,” Lahoucine Ouzgane, editor. Journal of Men’s Studies. 2002;10(3):343–359.
26.
Zurück zum Zitat Daniels CR. Exposing men: the science and politics of male reproduction. New York: Oxford University Press; 2006. Daniels CR. Exposing men: the science and politics of male reproduction. New York: Oxford University Press; 2006.
27.
Zurück zum Zitat Becker G, Castrillo M, Jackson R, et al. Infertility among low-income Latinos. Fertil Steril. 2006;85(4):882–7. 3.PubMedCrossRef Becker G, Castrillo M, Jackson R, et al. Infertility among low-income Latinos. Fertil Steril. 2006;85(4):882–7. 3.PubMedCrossRef
29.
Zurück zum Zitat Nepomnyaschy L, Waldfogel J. Paternity leave and fathers’ involvement with their young children: evidence from the American ECLS-B. Community Work Fam. 2007;10(4):427–53.CrossRef Nepomnyaschy L, Waldfogel J. Paternity leave and fathers’ involvement with their young children: evidence from the American ECLS-B. Community Work Fam. 2007;10(4):427–53.CrossRef
30.
Zurück zum Zitat Horden AJ, Street AF. Communicating about patient sexuality and intimacy after cancer: mismatched expectations and unmet needs. Med J Aust. 2007;186(5):224–7. Horden AJ, Street AF. Communicating about patient sexuality and intimacy after cancer: mismatched expectations and unmet needs. Med J Aust. 2007;186(5):224–7.
31.
Zurück zum Zitat Quinn GP, Cadaparampil ST, Lee JH, Jacobsen PB, Bepler G, Lancaster J, et al. Physician referral for fertility preservation in oncology patients: a national study of practice behaviors. J Clin Oncol. 2009;27(35):5952–67.PubMedCrossRef Quinn GP, Cadaparampil ST, Lee JH, Jacobsen PB, Bepler G, Lancaster J, et al. Physician referral for fertility preservation in oncology patients: a national study of practice behaviors. J Clin Oncol. 2009;27(35):5952–67.PubMedCrossRef
Metadaten
Titel
Infertility, cancer, and changing gender norms
verfasst von
Shauna Gardino
Sarah Rodriguez
Lisa Campo-Engelstein
Publikationsdatum
01.06.2011
Verlag
Springer US
Erschienen in
Journal of Cancer Survivorship / Ausgabe 2/2011
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-010-0166-2

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