Showing posts with label fertility. Show all posts
Showing posts with label fertility. Show all posts

Thursday, 24 August 2017

The Clare Project -What matters most to young adults with cancer as they make choices about fertility preservation?

In the past the #gyncsm community has held chats about fertility and life as a young adult following a gynecologic cancer diagnosis. Recently we learned about the Kaiser Permanente Washington Health Research Institute's Clare Project. The Project is a research study to understand how adolescent and young adults with advanced cancer make medical decisions. 
This blog post first appeared in Medium. 


What matters most to young adults with cancer as they make choices about fertility preservation?

In 2016, we launched The Clare Project to understand how adolescent and young adult (AYA) patients with advanced cancer make medical decisions. Our study is a memorial to a family member, Karen’s sister-in-law, who died in 2014. Our goal is to improve care for young people with cancer by asking them what they need, want, and value.

We spoke to 22 patients, caregivers, and clinicians sharing their stories with us. We heard that AYA patients are balancing hope of increased survival with the risk of treatment that can be debilitating and at times fatal. Patients recognize that they are essentially playing a “chess game” they will eventually lose to cancer, but they don’t want to use up all of their pieces too soon. We learned that AYA want clearer communication from their clinicians about their prognosis, and when additional treatment will no longer prolong life.

We also learned that one important concern was the decision to undergo — or not undergo — fertility preservation. We have now launched a second phase of our study to understand how this decision is made, and how young adults with cancer think about family building.

We are looking for young adults, aged 18 or older, who were diagnosed with cancer between the ages of 15–39 years, and are willing to do a one-time phone interview. We also want to talk to clinicians who care for young adults who were diagnosed with cancer between the ages of 15–39 years.
By sharing your experience with us, you will help us understand what matters most to young adults with cancer when making decisions about building a family. It is important that we hear first-hand from real people who have had to make decisions about cancer care and have thought about whether and how to have a family.
What does the interview involve?
  • The interview will ask questions about your experience with cancer care and fertility preservation or other forms of family building.
  • If you are a clinician, the interview will ask about your experience helping young adults with cancer make decisions about fertility preservation or other forms of family building.
  • It will last about an hour.
  • The interview will be recorded and written down, but will not include your full name.
  • The interview is voluntary.
  • You will receive $50 as a thank you for your time.
  • You must be at least 18 years old to join this study.
How do I volunteer or find out more?
If you want to be part of this study or learn more about it, please review our study information sheet. Email the Clare Project if you want to join the study or if you have questions. We hope to hear from you soon.
Twitter handle is: @clareproject

Dee
#gyncsm Co-Founder

Friday, 3 February 2017

Feb. 8, 2017 HPV and Cervical Cancer Chat


While January is officially Cervical Health Month, we're going to continue sharing information and discussing HPV (Human Papilloma Virus), the HPV vaccination, and cervical cancer treatment and survivorship right into February - and beyond.

Cervical cancer forms in the cells lining the cervix. It generally takes several years for normal cells to develop into cervical cancer. The Pap test detects those precancerous cells and the HPV test detects the presence of high-risk HPV types known to lead to cervical cancer.

The most recent numbers available on the incidence of cervical cancer in the U.S. is from 2013. In that year, 11,955 women were diagnosed with cervical cancer (CDC ). The five-year survival rate is 68%. Over the past forty years, death due to cervical cancer has dropped by more than 50% due to the use of the Pap test (http://www.cancer.net/cancer-types/cervical-cancer/statistics).

HPV is responsible for nearly all cases of cervical cancer, with HPV 16 and 18 accounting for more than seventy percent of all cervical cancers. HPV is a very common virus that is transmitted by skin-to-skin contact. Many HPV infections go away by themselves but when they persist they can lead to cervical cancer. Other cancers also associated with HPV include cancer of the vagina, vulva, penis, anus, rectum, and oropharynx (cancers of the back of the throat, including the base of the tongue and tonsils). The goal of vaccination is to prevent a lasting HPV infection after a person is exposed to the virus. (http://www.cancer.net/navigating-cancer-care/prevention-and-healthy-living/hpv-and-cancer)

We hope you will join us and learn more about cervical cancer.

We will use these questions to guide our chat:

T1: Which HPV (Human Papilloma Virus) types cause cervical cancer? How does the HPV vaccination prevent cancer? 

T2: What other health issues and cancers are associated with HPV? Why is the vaccine recommended for both boys and girls?

T3: What are the tools we have to catch cervical cancer in the pre-cancer and early stages? What do we need to know re: guidelines? 

T4: What are options for fertility preservation? What fertility and general resources can help women diagnosed with cervical disease? 

T5: There is still a lot of stigma surrounding women's cancers. How can we ensure ALL women receive the necessary education.

Feel free to read the Cancer.Net website (http://www.cancer.net/cancer-types/cervical-cancer/introduction) and the CDC website (https://www.cdc.gov/cancer/hpv/statistics/cases.htm) for more information on cervical cancer and HPV.

See you on Wed the 8th!

Dee
#gyncsm Co-Founder


Wednesday, 11 March 2015

"No One Ever Told Me..." - March 11,2015 Chat

We are happy to have had so many survivors join us this evening. There was a lively fast paced discussion  among our forty-two participants as they answered these questions:

T1A: For patients/survivors/loved ones, share "No one ever told me  ___ ". 
T1B: For our healthcare professionals/advocates, what do patients seem to be most surprised about or even blindsided by?

T2A: Are there things you wish you knew before your (or your loved one's) treatment (incl. surgery, chemo, radiation)? 

T2B: Healthcare professionals: What are you surprised that patients don't ask about?

T3: What pre and post surgery and/or pre and post chemo tips seem to help the most or you wish someone had told you?



T4: For those who have completed initial treatment, what do you wish people told you about survivorship - physical & mental? What are the on-going care needs and issues that surprised you or you wish you had more information about beforehand?

Some of the fill-in-the-blanks for "No One Ever Told Me ... " included:



  • Surgical Menopause and its effects
  • Losing ALL your hair
  • Chemobrain
  • Emotional scars
  • Energy levels
  • Family History
  • Fertility options
  • #Scanxiety
  • Radiation Effects
  • I would have to be my own advocate


You may read the entire trancript here. And find additional analytics here. 



Please scroll down for a list of resources shared during our chat. 

Remember that patients & caregivers are invited to continue our discussion on the Smart Patients platform at https://t.co/dFCf1Mcahw .



Mark your calendar for next month's Society of Gynecological Oncologist Annual Meeting  Recap & Ask the Docs chat on Wednesday, April 8, 2015.  We are happy that Dr. William Winter from @nedtheband will join us to discuss news in the field to participate in the  “Ask the Docs” segment.  See you then. 

Dee 
#gyncsm co-moderator
"Find a bit of beauty in the world today. Share it. If you can't find it, create it. Some days this may be hard to do. Persevere." #lisa

Resources: 




Top things to know about recovering from cancer
http://thathealthsite.com/top-things-know-recovering-cancer/





@hystersisters  HysterSisters

Demons of the Mind - PTSD and Mental Health Concerns July 2014 #gyncsm chat 

Cancerism - Confronting the Biases We Share- https://www.youtube.com/watch?v=oBSARX94-ZM


What I Wish I Knew When I Was Diagnosed With Ovarian Cancer - Smart 


Supplements / Vitamins Are they helpful? May 8, 2019 Chat

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