Gonadal function, fertility, and reproductive medicine in childhood and adolescent cancer patients: A national survey of japanese pediatric endocrinologists

Yoko Miyoshi, Tohru Yorifuji, Reiko Horikawa, Ikuko Takahashi, Keisuke Nagasaki, Hiroyuki Ishiguro, Ikuma Fujiwara, Junko Ito, Mari Oba, Hiroshi Kawamoto, Hiroyuki Fujisaki, Masashi Kato, Chikako Shimizu, Tomoyasu Kato, Kimikazu Matsumoto, Haruhiko Sago, Tetsuya Takimoto, Hiroshi Okada, Nao Suzuki, Susumu YokoyaTsutomu Ogata, Keiichi Ozono

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

An increasing number of pediatric cancer patients survive, and treatment-related infertility represents one of the most important issues for these patients. While official guidelines in Japan recommend long-term follow-up of childhood cancer survivors (CCSs), their gonadal function and fertility have not been clarified. To address this issue, we organized a working panel to compile evidence from long-term survivors who received treatments for cancer during childhood or adolescence. In collaboration with members of the CCS Committee of the Japanese Society for Pediatric Endocrinology (JSPE), we conducted a questionnaire survey regarding reproductive function in pediatric cancer patients. A cross-sectional survey was sent to 178 JSPE-certified councilors who were asked to self-evaluate the medical examinations they had performed. A total of 151 responses were obtained, revealing that 143 endocrinologists were involved in the care of CCSs. A quarter of the respondents reported having experienced issues during gonadal or reproductive examinations. Several survivors did not remember or fully understand the explanation regarding gonadal damage, and faced physical and psychological distress when discussing the risk of becoming infertile. Pediatric endocrinologists had anxieties regarding their patients’ infertility and the risk of miscarriage, premature birth, and delivery problems. Only a limited number of endocrinologists had experience with managing childbirth and fertility preservation. Many councilors mentioned the necessity for inter-disciplinary communication among healthcare providers. Both endocrinologists and oncologists should set and follow a uniform clinical guideline that includes management of fertility of CCSs.

Original languageEnglish
Pages (from-to)45-57
Number of pages13
JournalClinical Pediatric Endocrinology
Volume25
Issue number2
DOIs
Publication statusPublished - 2016 Apr 28

Keywords

  • Adolescent
  • Childhood cancer survivor
  • Fertility
  • Pediatric endocrinologist
  • Questionnaire survey

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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  • Cite this

    Miyoshi, Y., Yorifuji, T., Horikawa, R., Takahashi, I., Nagasaki, K., Ishiguro, H., Fujiwara, I., Ito, J., Oba, M., Kawamoto, H., Fujisaki, H., Kato, M., Shimizu, C., Kato, T., Matsumoto, K., Sago, H., Takimoto, T., Okada, H., Suzuki, N., ... Ozono, K. (2016). Gonadal function, fertility, and reproductive medicine in childhood and adolescent cancer patients: A national survey of japanese pediatric endocrinologists. Clinical Pediatric Endocrinology, 25(2), 45-57. https://doi.org/10.1297/cpe.25.45