Table 3.

Fertility preservation barriers reported and characteristics of physicians who consulted or referred their patients to an infertility specialist

Characteristic	Consult infertility specialist, %†			P-value	Refer to infertility specialist, %†			P-value
	Always/often	Sometimes	Rarely/never		Always/often	Sometimes	Rarely/never
N	54	64	62		98	50	31
Barriers*
Patients too ill to delay transplant	47	64	76	0.008	55	69	77	0.14
Patient cannot afford fertility preservation	45	48	43	0.64	48	43	37	0.39
Patients do not want to discuss fertility preservation	6	13	34	0.0003	13	12	45	0.0001
Patients already infertile	39	33	60	0.03	38	47	61	0.16
No place to refer patients	4	2	26	<0.0001	3	4	45	<0.0001
Time constraints	4	18	37	0.001	12	18	53	<0.0001
Insurance does not cover fertility preservation	55	40	38	0.03	45	45	37	0.09
Physician characteristics
Gender				0.45				0.90
Male	73	63	71		70	66	70
Female	27	37	29		30	34	30
Year of medical school graduation				0.02				0.05
Prior to 1990	62	65	44		62	56	37
1990 and later	38	35	56		38	44	63
Practice type				0.59				0.53
Adult patients only	63	69	72		67	65	77
Pediatric ± adult patients	37	31	28		33	35	23
Center size				0.59				0.17
Small	8	14	18		12	9	28
Medium	33	28	32		30	30	31
Large	59	58	50		58	61	41
Access to infertility specialist				<0.0001				<0.0001
Yes, in my institution	80	64	52		69	70	41
Yes, in another institution in my community	20	36	27		31	26	21
No	0	0	21		0	4	38

^*“Always” or “Often” responses are shown

^†Column percent; P-value compares “Always/often”, “Sometimes” and “Rarely/never”