Tıbbi ve Sosyal Nedenler ile Kadınlarda Doğurganlığın Korunması: Sağlık Profesyonellerinin Danışmanlık Rolü

Year 2022, , 459 - 467, 05.12.2022

Zeynep Daşıkan , Ebru Cirban Ekrem

https://doi.org/10.38108/ouhcd.933431

Abstract

Hem tıbbi hem de sosyal nedenlerle doğurganlığın korunması dünya çapında giderek artan bir ilgi görmektedir. Kadın kanserlerinin yaklaşık %10’u üreme çağındaki kadınlarda ortaya çıkmaktadır. Kanser tedavisinde kullanılan kemoterapi ve radyoterapi gibi tedavi yöntemleri doğurganlığı olumsuz yönde etkilemekte ve prematür over yetmezliğine neden olmaktadır. Aynı zamanda ailesinde erken menopoz öyküsü olan, eğitim ve kariyer yapma, uygun eş bulamama gibi sosyal nedenlerden dolayı evlilik ve çocuk doğurma yaşını erteleyen kadınlar da doğurganlığının korunmasını talep edebilir. Sağlık profesyonelleri doğurganlığın korunmasına yönelik danışmanlık yapmalı, doğurganlığı koruma seçenekleri, etkinliği, maliyeti ve etik yönü hakkında bilgi vermelidir. Kanser hastalarına onkofertilite danışmanlığı yapılmalıdır. Bu derlemede; güncel literatür doğrultusunda tıbbi ve sosyal nedenler ile kadınlarda doğurganlığın korunması, koruma seçenekleri, etik yönü ve sağlık profesyonelleri ve hemşirelerin danışmanlık rolü ele alınmıştır.

Keywords

Doğurganlığın korunması, kanser, üreme yaşlanması, danışmanlık, etik

Supporting Institution

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Project Number

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Fertility Preservation in Women for Medical and Social Reasons: Counseling Role of Health Professionals

Abstract

Fertility preservation, for both medical and social reasons is receiving increasing attention worldwide. About 10% of female cancers occur in women of reproductive age. Treatment methods such as chemotherapy and radiotherapy used in cancer treatment affect fertility negatively and cause premature ovarian failure. Treatment methods such as chemotherapy and radiotherapy used in cancer treatment affect fertility negatively and cause premature ovarian failure. At the same time, women who postpone their marriage and childbearing age due to social reasons such as a family history of early menopause, education, career development, and the inability to find a suitable partner may also demand the protection of their fertility. Health professionals should provide counseling for fertility preservation, provide information about fertility preservation options, effectiveness, cost, and ethical aspects. Oncofertility counseling should be provided to cancer patients. In this review; in line with the current literature, medical and social reasons, fertility preservation in women, preservation options, ethical aspects, and the counseling role of health professionals and nurses are discussed.

Keywords

Fertility preservation, cancer, reproductive aging, counseling

Project Number

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