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Consenting participants completed a questionnaire addressing fertility, pregnancy and delivery details.
In a setting with high HIV prevalence and high fertility rates, addressing fertility issues of PLHIV is crucial.
The limited research, and data, existing on couples show the incredible value of addressing fertility as a joint decision.
Questions addressing fertility history included 'have you ever been pregnant' (yes/no); and the outcome of each pregnancy (for instance, spontaneous abortion, therapeutic abortion, still born, or live born).
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Typically, childhood survivors tend not to address fertility issues until they are in a relationship and their treatment is many years behind them, said Dr. Aarati D. Didwania, the director of the STAR survivorship program at the Robert H. Lurie Comprehensive Cancer Center at Northwestern University.
They are not likely to address fertility concerns with their patients before cancer treatment.
Concerns exist regarding the impact of excisional treatments for cervical intraepithelial neoplasia (CIN) on subsequent pregnancy outcome yet few studies have addressed fertility following surgery.
Moreover, despite existing guidelines, healthcare professionals do not address fertility preservation issues adequately [9].
It is therefore recommended that health care professionals systematically address fertility issues and future parenthood; such communication should include adequate valid information and support.
Previous studies addressing the fertility intentions of HIV-positive women have been important but some are of limited scope [5] [33].
The University of North Carolina's Fertility Preservation Program estimates that only a quarter of oncologists nationwide address fertility issues with patients before treatment begins.
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