What does this research mean for the field?

In a publicly funded healthcare system, the uptake of fertility preservation among young women with breast cancer is higher than previously reported, with the most significant attrition occurring between the initial oncology discussion and the fertility specialist consultation. Novelty: ClaimNovelty.CONTRADICTORY. Consensus alignment: ConsensusAlignment.CHALLENGES_CONSENSUS.

What question did this study set out to answer?

To evaluate patient progression through the fertility preservation care pathway in young women with breast cancer within a publicly funded healthcare system.

August 28, 2026Annals of Surgical OncologyOpen Access

Fertility Preservation Pathways in Young Women With Breast Cancer: A Single-Center Analysis in a Publicly Funded System

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To evaluate patient progression through the fertility preservation care pathway in young women with breast cancer within a publicly funded healthcare system.
Single-center cohort analysis of 248 young women with breast cancer.
Tracked progression across three clinical steps: oncologic fertility discussion, consultation with a fertility specialist, and procedural fertility preservation via oocyte, embryo, or ovarian tissue cryopreservation.
Among 248 women, 77.8% had a documented fertility discussion, 40.7% attended a fertility specialist consultation, and 27.4% underwent fertility preservation.
The steepest decline in participation occurred between initial discussion and specialist consultation, whereas conversion from consultation to preservation was high (67.3%).
Patients aged 40 years or older and those with two or more children were less likely to proceed to consultation and preservation.

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Implication

Cohort study reveals high fertility preservation completion after specialist referral in young breast cancer patients, indicating care pathways shape utilization.

Cite This Study

Strauss et al. (2026) studied this question.

synapsesocial.com/papers/6a91466cd15324a1df3a9f47 https://doi.org/10.1245/s10434-026-20414-9

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Implication

Cohort study reveals high fertility preservation completion after specialist referral in young breast cancer patients, indicating care pathways shape utilization.

Fertility Preservation Pathways in Young Women With Breast Cancer: A Single-Center Analysis in a Publicly Funded System

Key Points

Discussion

Implication

Cite This Study

Fertility Preservation Pathways in Young Women With Breast Cancer: A Single-Center Analysis in a Publicly Funded System

Key Points

Discussion

Implication

Cite This Study

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