As the new Oncofertility Liaison in our clinic, it will be my role to have this discussion with patients prior to referring them to the Reproductive Endocrinologist. This nurses approach was very clear and thorough. She discussed the technique and the time frame which is the most controversial part for the interdisciplinary team. The two week time frame will work well for this patient whose plan is for adjuvant chemo, but for those with large tumors, planning neoadjuvant chemo, the two week time frame may be trickier and would be a shared decision between the patient, partner, APP, and MD and other interdisciplinary team members.
I agree this role sounds very interesting! I definitely agree with any kind of neoadjuvant chemo the name of the game is ASAP, and the timing of the egg retrieval process will be a problem that needs to be worked out. Hopefully you are able to establish a good line of communication between the oncologist and yourself to make this process as smooth as possible, with as few hiccups as possible i.e. potentially you see them on the same day or next day after their diagnosis IF they are interested in fertility, this would entail the oncologist opening the window to fertility after giving the cancer diagnosis which could be too much information at once. However, I think if done right “I know this is a lot of information, but if you are even slightly interested in future fertility, let’s have you meet with XXX tomorrow to discuss potential options for you” it might work well.