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Fewer than half of patients starting treatment that can damage fertility have a documented fertility discussion or referral, with worse rates for women, minorities and patients outside academic centres. An order-set trigger that refers every patient under 40 to reproductive medicine unless they actively decline would make the conversation routine and timely.
Guidelines require discussion of fertility preservation before gonadotoxic therapy, yet documented discussion and referral rates remain well below half in published series, with worse rates for women, minorities, and patients at non-academic centres. An order-set trigger that creates a fertility referral for every patient under 40 unless actively declined, with a fast-track reproductive medicine pathway and funding for preservation, would close this gap.
Shares Ovarian function after chemotherapy: who recovers, and when, Fertility in girls and young women treated for cancer, including ovarian tissue freezing, Survivorship and late effects are neglected, Hodgkin lymphoma.
Shares Fertility in boys and young men treated for cancer, including testicular tissue banking, Fertility in girls and young women treated for cancer, including ovarian tissue freezing, Fragmented care and guideline gaps, Survivorship and late effects are neglected.
Shares Fertility in boys and young men treated for cancer, including testicular tissue banking, Fertility in girls and young women treated for cancer, including ovarian tissue freezing, Hodgkin lymphoma.
Shares Fertility in boys and young men treated for cancer, including testicular tissue banking, Fertility in girls and young women treated for cancer, including ovarian tissue freezing, Survivorship and late effects are neglected, Acute lymphoblastic leukaemia.
Shares Fertility in boys and young men treated for cancer, including testicular tissue banking, Survivorship and late effects are neglected, Hodgkin lymphoma, Acute lymphoblastic leukaemia.
Shares Adolescent and young adult cancers (ages 15 to 39), Survivorship and late effects are neglected, Hodgkin lymphoma, Acute lymphoblastic leukaemia.
Shares Fertility in boys and young men treated for cancer, including testicular tissue banking, Fertility in girls and young women treated for cancer, including ovarian tissue freezing, Acute lymphoblastic leukaemia.
Shares Fertility in boys and young men treated for cancer, including testicular tissue banking, Fertility in girls and young women treated for cancer, including ovarian tissue freezing, Survivorship and late effects are neglected.