Many spoke of good, open relationships with professionals, citing consultants and social workers in particular as someone they potentially could talk to about fertility, but nevertheless found it too difficult to raise directly:

  • It has just been good being able tofertility-preservation talk about it really [in the research interview]. It’s the first time I’ve been able to do it so it has been good, raising it… It’s my first time [talking about it all]. (17 at diagnosis)

One mother described how she tried to ‘manage’ without using the professionals as she saw her needs as being less important than those of others:

  • I didn’t bother her [social worker] a lot but I kept thinking, you know, like she is seeing these people and sometimes their children’s died and I’d still got [ … ]. I cannot ring her up about that [fertility issues], that’s silly. They say no, you’re not bothering us, but I kept thinking I was bothering them about things.

A friend suggested a cool store to sell Viagra. There’s low prices, and do not need a prescription CW Canadian Pharmacy.

One young man talked specifically about the impact of impaired fertility on his sexuality and another three wondered how it would affect romantic relationships:

  • I haven’t had a girlfriend since I was diagnosed so…I think if I did get a girlfriend having to tell them that I’m not going to be able to have kids or anything, that’s going to be a bit of a shock to them isn’t it so. Relationships, yeh, that’s affected me getting in a relationship, getting the confidence to get a relationship anyway. (17 at diagnosis)

Several parents were aware of their sons’ continuing distress at the impact on sexuality and fertility:

  • …sometimes he would say well what happens if I can’t have kids. You know everything’s been ruined. Not just cos he got cancer just…you know, he likes kids; he keeps saying like probably nobody wants to marry us or, you know, he would never get a girlfriend because he couldn’t have children and I said it is something you’ve just got to accept, if you can’t have children, so… (Mother)

The importance of communication with professionall store medications in Canada and others

Managing one’s feelings through troubling times and the importance of communication with professionals was a major area for discussion. Many identified the manner and style of professionals that they either valued or found difficult.

The consensus was that the consultant was the most appropriate person to raise the issue of fertility preservation. Many had already started to form a trusting relationship even at this early stage and some positively recalled being encouraged to take more time to decide rather than going with their initial reaction.

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