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Title of Journal: Matern Child Health J

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Abbravation: Maternal and Child Health Journal

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Springer US

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DOI

10.1007/s10668-013-9473-x

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1573-6628

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Preconception and the Young Cancer Survivor

Authors: Margo C Grady
Publish Date: 2006/06/09
Volume: 10, Issue: 1, Pages: 165-168
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Abstract

While the diagnosis of cancer is not common in young men and women cancer survivors younger than 40 are likely to be very concerned about the impact of their cancer on future fertility their risk of cancer recurrence after treatment and risks to future offspring It is estimated that 1 in 900 persons between 16 and 44 are cancer survivors 1 and that there are at least 250000 women age 40 and younger who are breast cancer survivors in the United States As cancer survival increases the focus on quality of life issues increases When questioned at least 73 of young breast cancer survivors reported concerns about infertility due to cancer treatment and 29 reported that this concern impacted their choice of cancer treatment 2In women the options for preserving fertility and risk of ovarian failure depends on the age at the time the cancer is treated the type and location of cancer and the specific treatment chosen Some treatments such as bone marrow transplantation BMT are accompanied by very high rates 99 of ovarian failure 3 Even for those women who resume normal menstruation after chemotherapy premature ovarian failure POF is not uncommon 4 and the risk of premature ovarian failure is 8fold higher in cancer survivors 5 The risk of POF increases with the womans age with less than 20 of women under 30 years experiencing POF whereas most women older than 40 will become menopausal after chemotherapy 6POF and menopause are dependent on the type of therapy used Rates of ovarian failure range from 15 for acute myelocytic leukemia AML to 50 for breast cancer with the overall rate of ovarian failure of 34 4 The chemotherapy agents with the highest risk for ovarian failure were the alkylating agents The higher the dose of these drugs the higher the likelihood of ovarian failureOvarian tissue damage is well documented with the use of radiation therapy Radiotherapy is used for treatment of several cancer types affecting premenopausal women The degree of damage to ovarian tissue is related to a womans age the total dose of radiation used and the number of exposures In one study when the same total dose of radiation was delivered exposure to multiple fractionated doses versus a single dose resulted in less damage to the ovaries 4 When used in conjunction with chemotherapy the risk of POF increases Byrne et al assessed the risk of premature ovarian failure in childhood cancer survivors and found the relative risk of early menopause was 92 for those treated with chemotherapy alone and 27 for those treated with radiation plus chemotherapy 5

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Other Papers In This Journal:
  1. Public Finance Policy Strategies to Increase Access to Preconception Care
  2. A Perspective of Preconception Health Activities in the United States
  3. Birth Characteristics Associated With Early Intervention Referral, Evaluation for Eligibility, and Program Eligibility in the First Year of Life
  4. The Relationship of Depressive Symptoms to Parenting Competence and Social Support in Inner-City Mothers of Young Children
  5. Supporting Pregnant Aboriginal and Torres Strait Islander Women to Quit Smoking: Views of Antenatal Care Providers and Pregnant Indigenous Women
  6. Gestational Age at First Antenatal Care Visit in Malawi
  7. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  8. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  9. Reasons for Mother–Infant Bed-Sharing: A Systematic Narrative Synthesis of the Literature and Implications for Future Research
  10. Dose and Timing of Prenatal Alcohol Exposure and Maternal Nutritional Supplements: Developmental Effects on 6-Month-Old Infants
  11. Pre-pregnancy Obesity as a Modifier of Gestational Diabetes and Birth Defects Associations: A Systematic Review
  12. A Qualitative Study to Understand Nativity Differences in Breastfeeding Behaviors Among Middle-Class African American and African-Born Women
  13. U.S. Provider Reported Folic Acid or Multivitamin Ordering for Non-Pregnant Women of Childbearing Age: NAMCS and NHAMCS, 2005–2006
  14. The Impact of Community Health Professional Contact Postpartum on Breastfeeding at 3 Months: A Cross-Sectional Retrospective Study
  15. The Correlation Between Postpartum Depression and Health Status
  16. Infant Feeding Decision-Making and the Influences of Social Support Persons Among First-Time African American Mothers
  17. Formative Research to Examine Collaboration Between Special Supplemental Nutrition Program for Woman, Infants, and Children and Head Start Programs
  18. Impact of Maternal Glucose and Gestational Weight Gain on Child Obesity over the First Decade of Life in Normal Birth Weight Infants
  19. Sleep Moderates and Mediates the Relationship Between Acculturation and Depressive Symptoms in Pregnant Mexican-American Women
  20. Ascertainment of Medicaid Payment for Delivery on the Iowa Birth Certificate: Is Accuracy Sufficient for Timely Policy and Program Relevant Analysis?
  21. Pre-Pregnancy Body Mass Index and Weight Gain During Pregnancy: Relations with Gestational Diabetes and Hypertension, and Birth Outcomes
  22. A Nationally Representative Study of Early Childhood Home Visiting Service Use in the United States
  23. Consultative Care Coordination Through the Medical Home for CSHCN: A Randomized Controlled Trial
  24. Prevalence of Medical Conditions Potentially Amenable to Cellular Therapy among Families Privately Storing Umbilical Cord Blood
  25. Rates and Success Rates of Trial of Labor After Cesarean Delivery in the United States, 1990–2009
  26. Genetic Counseling, Insurance Status, and Elements of Medical Home: Analysis of the National Survey of Children with Special Health Care Needs
  27. Does a Medical Home Mediate Racial Disparities in Unmet Healthcare Needs Among Children with Special Healthcare Needs?
  28. Physical Activity and Risk of Small-for-Gestational-Age Birth Among Predominantly Puerto Rican Women
  29. Maternal Health Risk Assessment and Behavioral Intervention in the NICU Setting Following Very Low Birth Weight Delivery
  30. A Process Evaluation of the WV Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Dissemination Initiative: Assessing the Fidelity and Impact of Delivery for State-Wide, Home-Based Healthy Start Services
  31. Determinants of the Uptake of the Full Dose of Diphtheria–Pertussis–Tetanus Vaccines (DPT3) in Northern Nigeria: A Multilevel Analysis
  32. Awareness and Intake of Folic Acid for the Prevention of Neural Tube Defects Among Lebanese Women of Childbearing Age
  33. Exploring Maternal Patterns of Dietary Caffeine Consumption Before Conception and During Pregnancy
  34. Utilization of Folic Acid and Iron Supplementation Services by Pregnant Women Attending an Antenatal Clinic at a Regional Referral Hospital in Kenya
  35. The Association of Parental Coping and Childhood Injury
  36. Predictors of Breastfeeding in Overweight and Obese Women: Data From Active Mothers Postpartum (AMP)
  37. Health Behaviors Among Women Using Fertility Treatment
  38. Variation in Birth Outcomes by Mother’s Country of Birth Among Non-Hispanic Black Women in the United States
  39. Does Health Insurance Continuity Among Low-income Adults Impact Their Children’s Insurance Coverage?
  40. Preconception Care Between Pregnancies: The Content of Internatal Care
  41. Access to care for children with autism in the context of state Medicaid reimbursement
  42. Prenatal Programming of Childhood Overweight and Obesity
  43. Evaluation of a Cross Cultural Curriculum: Changing Knowledge, Attitudes and Skills in Pediatric Residents
  44. Fathering: The Relationship Between Fathers’ Residence, Fathers’ Sociodemographic Characteristics, and Father Involvement
  45. Empowering Head Start to Improve Access to Good Oral Health for Children from Low Income Families
  46. Measuring Women’s Cumulative Neighborhood Deprivation Exposure Using Longitudinally Linked Vital Records: A Method for Life Course MCH Research
  47. Afraid of Delivering at the Hospital or Afraid of Delivering at Home: A Qualitative Study of Thai Hmong Families’ Decision-Making About Maternity Services
  48. Association Between Low Dairy Intake During Pregnancy and Risk of Small-for-Gestational-Age Infants
  49. Electronic Medical Record Use and Maternal and Child Care and Health
  50. Prevention of Secondary Conditions in Fetal Alcohol Spectrum Disorders: Identification of Systems-Level Barriers
  51. Prevalence of Serious Psychological Distress and Mental Health Treatment in a National Sample of Pregnant and Postpartum Women
  52. The Agency for Healthcare Research and Quality’s Children’s Health Research Portfolio
  53. Maternal Education and Child Healthcare in Bangladesh
  54. Smoking Among Pregnant Women with Medicaid Insurance: Are Mental Health Factors Related?
  55. Adolescent Births in the Border Region: A Descriptive Analysis Based on US Hispanic and Mexican Birth Certificates
  56. Screening Tests during Prenatal Care: Does Practice Follow the Evidence?
  57. The Influence of Pregnancy on Sweet Taste Perception and Plaque Acidogenicity
  58. Sports and Leisure Time Physical Activity During Pregnancy in Nulliparous Women
  59. Access to Patient-Centered Medical Homes in Children with Sickle Cell Disease
  60. Access to Patient-Centered Medical Homes in Children with Sickle Cell Disease
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