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The Banking Process itself fifty seven Information, understanding and recall following seventy one diagnosis Understanding of reproductive function seventy one Understanding and use of hormone alternative therapy seventy three Understanding and use of contraception 74 Understanding and use of fertility evaluation or its contemplation 77 Understanding of fertility therapy choices 82 Satisfaction with information obtained eighty four Telling and talking about most cancers-related fertility issues 89 Telling and talking with professionals 89 Telling and talking about fertility issues with relations 109 Telling and talking with pals and others 114 Telling and speaking with a (potential or actual) romantic partner 128 three the impact of attainable or precise most cancers-associated fertility 137 Impairment Impact of fertility on self 139 Impact on family and family relationships 165 Impact on associates and friendships 171 Impact on present and future romantic relationships 174 Managing the expertise of thinking about, or 181 achieving, parenthood Alternative routes to parenthood 181 Becoming and being a parent 186 Conclusions 192 Development of Information Materials 202 F ocus G roups 203 Appendix A пїЅ Reflections Sheet for Focus Group 211 Appendix B Action planning for Focus Group 212 Appendix C Topic information for interviews 214 Appendix D пїЅ Advisory Group Members 218 Bibliography 219 four Executive Summary In depth interviews had been conducted with thirty eight individuals recognized with cancer between ages 13 and 21 and conscious of a risk, irrespective of how small, that their fertility may have been affected. 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