Among reproductive-aged women, cancer diagnosis was associated with fewer and delayed pregnancies and persistently low absolute uptake of fertility-preserving care, particularly among nulliparous and older patients. These findings highlight the need for early, standardized onco-fertility counseling, automatic pre-treatment referral for patients undergoing gonadotoxic therapy, and policies designed to mitigate barriers to fertility care.
Sarfraz et al. (Wed,) studied this question.