Authors:
Rosen B. Irvine J. Ritvo P. Shapiro H. Stewart D. Reynolds K. Robinson
G. Thomas J. Neuman J. Murphy J.
Institution:
Dr. B. Rosen, Toronto Hospital General Division, 200 Elizabeth Street, Toronto, Ont. M5G 2C4; Canada. E-Mail: brosen@torhosp. Toronto.on.ca.
Title:
The feasibility of assessing women's perceptions of the risks and benefits of fertility drug therapy in relation to ovarian cancer risk (1997-1804).
Source:
Fertility and Sterility. Vol 68(1) (pp0-94), 1997.
Abstract:
Objectives:
To determine the feasibility of asking women undergoing fertility treatment the maximum increased risk of ovarian cancer they would be willing to tolerate in order to take ovulation-induction drugs.
Design:
A prospective pilot study of women attending fertility clinics over a 2-month period.
Setting:
Two tertiary care fertility clinics in Toronto.
Patients:
Sixty-one English-speaking women were approached and 85% (n = 52) were enrolled.
Interventions:
A self-administered questionnaire with fertility- specificQuestions. Thirty-eight women also were asked to complete standardized scales of anxiety and optimism.
Main Outcome Measure(s):
Women's report of the maximum level of lifetime risk of ovarian cancer they were willing to tolerate in order to undergo fertility treatment.
Results:
Seventy-nine percent were willing to accept an increased risk of ovarian cancer. Only 24% understood that treatment for ovarian cancer usually was not curative.
Conclusion(s):
A majority of patients were willing to tolerate a modest increase in their lifetime risk of ovarian cancer because of fertility treatment, most basing their estimate of acceptable risk on limited awareness of the issue.
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