title: Cancer Survivors' Use of Fertility Preservation.
abstract: BACKGROUND
  Some cancer diagnoses and treatments can place patients at risk for infertility. The American Society of Clinical Oncology recommends that health care providers address the possibility of infertility with cancer patients who are treated during their reproductive years; however, research suggests that many providers do not disclose the risk of infertility to their patients. This study examines adolescent/young adult (AYA) cancer survivors' use of and costs for fertility preservation (FP) over time.
  
  
  METHODS
  The study included 550 AYA cancer survivors diagnosed at the ages of 15 and 39 years between 2006 and 2012. Logistic regression analyses and chi-squared tests were conducted to identify factors associated with FP use, barriers, and expenses.
  
  
  RESULTS
  One hundred eighty two (33%) of the AYA survivors took steps to preserve their fertility. Men, survivors who did not have children, those who received chemotherapy, and those who lived in the Northeast (vs. the South) were more likely to have FP. The majority of men using FP used sperm banking (99%), whereas women used egg preservation (40%), embryo preservation (40%), and other methods (37%). On average, women paid more for FP than men (p < 0.001); however, costs for women significantly declined over time (p = 0.021).
  
  
  CONCLUSIONS
  The study points to other areas for research in women's health, including the development of educational interventions with patients and providers to reduce gender disparities in FP and ensure timely patient-provider discussions related to fertility issues.
authors.affiliation: 1 RTI International , Research Triangle Park, North Carolina.
authors.forename: Carla M
authors.initials: CM
authors.lastname: Bann
authors.affiliation: 1 RTI International , Research Triangle Park, North Carolina.
authors.forename: Katherine
authors.initials: K
authors.lastname: Treiman
authors.affiliation: 1 RTI International , Research Triangle Park, North Carolina.
authors.forename: Linda
authors.initials: L
authors.lastname: Squiers
authors.affiliation: 1 RTI International , Research Triangle Park, North Carolina.
authors.forename: Janice
authors.initials: J
authors.lastname: Tzeng
authors.affiliation: 2 LIVESTRONG Foundation , Austin, Texas.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Nutt
authors.affiliation: 2 LIVESTRONG Foundation , Austin, Texas.
authors.forename: Sarah
authors.initials: S
authors.lastname: Arvey
authors.affiliation: 2 LIVESTRONG Foundation , Austin, Texas.
authors.forename: Devon
authors.initials: D
authors.lastname: McGoldrick
authors.affiliation: 2 LIVESTRONG Foundation , Austin, Texas.
authors.forename: Ruth
authors.initials: R
authors.lastname: Rechis
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D005260:Female; D059247:Fertility Preservation / Q000191:economics / Q000379:methods*; D006801:Humans; D007246:Infertility / Q000517:prevention & control*; D008297:Male; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D010063:Ovum; D012662:Semen Preservation; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult