Young women's perceptions of fertility‐related information and fertility distress before surgery for ovarian cysts. (7th September 2013)

• Record Type: Journal Article
• Authors: Lind, Tekla; Lampic, Claudia; Hammarström, Margareta; Rodriguez‐Wallberg, Kenny
• Is Part Of: Acta obstetricia et gynecologica Scandinavica. Volume 92:Number 11(2013)
• Page Start: 1290
• Page End: 1296
• Publication Date: 2013-09-07
• Subjects: Gynecology -- Periodicals; Pregnancy -- Periodicals; Obstetrics -- Periodicals; 618.05
• DOI: 10.1111/aogs.12228
• Languages: English
• ISSNs: 0001-6349

Abstract

<abstract abstract-type="main" id="aogs12228-abs-0001"> <title>Abstract</title> <sec id="aogs12228-sec-0001" sec-type="section"> <title>Objective</title> <p>To investigate young women's reproductive desire and perceptions of fertility‐related information when scheduled for ovarian cyst surgery with a possible impact on fertility.</p> </sec> <sec id="aogs12228-sec-0002" sec-type="section"> <title>Design</title> <p>Cross‐sectional study.</p> </sec> <sec id="aogs12228-sec-0003" sec-type="section"> <title>Setting</title> <p>University Hospital.</p> </sec> <sec id="aogs12228-sec-0004" sec-type="section"> <title>Population</title> <p>Women of reproductive age (<italic>n</italic> = 106, mean age 32.3 years, range 18–44 years) with a diagnosis of ovarian cyst and scheduled ovarian cyst surgery between March 2011 and September 2012 were included.</p> </sec> <sec id="aogs12228-sec-0005" sec-type="section"> <title>Methods</title> <p>The women answered a questionnaire after the presurgery consultation with the gynecologist. The questionnaire included study‐specific measures of reproductive desire, perception of fertility‐related information received, worry about future fertility and sociodemographic characteristics.</p> </sec> <sec id="aogs12228-sec-0006" sec-type="section"> <title>Main outcome measure</title> <p>Reproductive desire and recalled information on the impact of surgery on fertility.</p> </sec> <sec id="aogs12228-sec-0007" sec-type="section"> <title>Results</title> <p>A high proportion of the women (72%) reported a desire for having children in the future and more than half of them (58%) recalled receiving information about the impact of surgery on fertility. In a multivariable logistic regression model adjusted for parity, education and age, a desire to have children increased the likelihood of recalling having received fertility‐related information (odds ratio 3.2, 95% CI 1.1–9.2).</p> </sec> <sec id="aogs12228-sec-0008" sec-type="section"> <title>Conclusions</title> <p>Almost half of women with reproductive desire had ovarian surgery without recalling a discussion of fertility issues. Development of written information or interactive information might improve women's perception of fertility‐related information.</p> </sec> </abstract>