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Fertility and Sexuality 

Fertility and Sexuality
Chapter:
Fertility and Sexuality
Author(s):

Jennifer M. Levine

, Kevin C. Oeffinger

, Jennifer S. Ford

, and Charles A. Sklar

DOI:
10.1093/med/9780199335114.003.0013
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date: 18 April 2021

A survivor’s (and a parent’s) understanding of fertility and sexuality and how it is impacted by cancer and cancer therapy evolves through the stages of survivorship. During the stress-laden period of diagnosis, when therapeutic decisions are made and as a parent faces the possibility of losing a child, details regarding the potential for infertility and gonadal dysfunction are often not understood or remembered by families and sometimes are not adequately provided by the cancer treating team. Later, as the cancer is cured and the patient matures into adulthood, issues of fertility and sexuality become more immediate and prevalent. This chapter presents an overview of fertility (including therapies associated with gonadal dysfunction and methods of fertility preservation) and sexuality.

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