title: [Discussing Fertility and the Desire to have a Child in Hemato-Oncology--A Qualitative Survey].
abstract: OBJECTIVE
  Adolescent and young adult patients in hemato-oncology have often not fulfilled their desire to have a child, which is threatened by the malignancy and it's treatment. The oncologists have to inform their patients about possible infertility and fertility preservation.
  
  
  METHODS
  25 oncologists were interviewed to discuss the desire to have a child and fertility issues with the patients. Afterwards the semi-structured interviews were transcribed and analyzed according to the qualitative content analysis of Mayring.
  
  
  RESULTS
  The following issues could be identified in the interviews: current desire to have a child; possible threat of fertility; fertility preservation and their implementation; contact to a reproduction facility; sexuality and contraception during therapy. Most of the oncologists (n=19) stated to discuss the fertility aspects in the first session. 14 oncologists stated that they have enough knowledge about fertility preservation. To improve the conditions for a discussion the oncologists wished to have more information (n=10) or patient leaflets (n=11) about fertility preservation.
  
  
  CONCLUSIONS
  Addressing the desire to have a child and fertility aspects of adolescent and young adult patients in hemato-oncology have already a high priority. Further studies should analyze the discussion from patient perspective and determine patient needs in this regard.
authors.affiliation: Krankenhaus Grimma.
authors.forename: Dorit
authors.initials: D
authors.lastname: Buske
authors.affiliation: Department für Psychische Gesundheit, Selbständige Abteilung für Medizinische Psychologie & Medizinische Soziologie, Universitätsklinikum Leipzig.
authors.forename: Annekathrin
authors.initials: A
authors.lastname: Sender
authors.affiliation: Department für Psychische Gesundheit, Selbständige Abteilung für Medizinische Psychologie & Medizinische Soziologie, Universitätsklinikum Leipzig.
authors.forename: Diana
authors.initials: D
authors.lastname: Richter
authors.affiliation: Department für Psychische Gesundheit, Selbständige Abteilung für Medizinische Psychologie & Medizinische Soziologie, Universitätsklinikum Leipzig.
authors.forename: Elmar
authors.initials: E
authors.lastname: Brähler
authors.affiliation: Department für Psychische Gesundheit, Selbständige Abteilung für Medizinische Psychologie & Medizinische Soziologie, Universitätsklinikum Leipzig.
authors.forename: Kristina
authors.initials: K
authors.lastname: Geue
mesh_terms: D000293:Adolescent; D003267:Contraception; D003376:Counseling; D005260:Female; D005298:Fertility; D059247:Fertility Preservation; D019337:Hematologic Neoplasms / Q000150:complications* / Q000523:psychology* / Q000628:therapy; D006801:Humans; D007246:Infertility / Q000209:etiology* / Q000523:psychology*; D008297:Male; D055815:Young Adult