title: Needs assessment survey to justify establishing a reproductive health clinic at a comprehensive cancer center.
abstract: BACKGROUND
  Reproductive health problems, including sexual dysfunction and impaired fertility, are distressing and persistent after cancer treatment. However, recent reports suggest that reproductive health remains neglected in oncology settings.
  
  
  OBJECTIVE
  We conducted a survey to ascertain the prevalence of reproductive health problems in men and women treated in a comprehensive cancer center, and to estimate potential usage of clinical services to preserve fertility or to treat postcancer infertility and sexual dysfunction.
  
  
  METHODS
  We mailed 800 questionnaires to men and women treated for cancer at our institution 1 to 5 years previously. Cancer sites and ages were chosen to maximize the risk of reproductive problems. We stratified the sample by living distance from our institution, to see if travel affected service utlilization. To provide a self-selected sample for comparison, another 200 questionnaires were made available in outpatient areas.
  
  
  METHODS
  Self-report questionnaire.
  
  
  RESULTS
  The return rate for the combined surveys was 29% for men and 26% for women. Cancer sites for self-selected respondents were almost identical to those in the postal cohort. Prevalence and types of sexual dysfunction were typical for surveys of cancer survivors, with 49% of men reporting new erection problems after cancer treatment and 45% of women noting loss of desire for sex and vaginal dryness. About a third of patients aged less than 50 years would have liked a fertility consultation before cancer treatment. Twenty to thirty percent wanted more information about premature ovarian failure or health risks for their children. Twenty-four percent of men and 21% of women would definitely want to visit a reproductive health clinic in the next year. Factors associated with wanting an appointment included self-selection to complete the survey and, for men, having less education.
  
  
  CONCLUSIONS
  It should be feasible to establish a multidisciplinary reproductive health center in a comprehensive cancer center.
authors.affiliation: The Department of Urology, Andrology, and Kidney Transplantation, and Human Fertility Research Group, Paule de Viguier University Hospital, Toulouse, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Huyghe
authors.forename: Dawen
authors.initials: D
authors.lastname: Sui
authors.forename: Evan
authors.initials: E
authors.lastname: Odensky
authors.forename: Leslie R
authors.initials: LR
authors.lastname: Schover
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000453:epidemiology*; D007248:Infertility, Male / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy*; D018456:Reproductive Medicine; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D055815:Young Adult