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. 2016 Nov 24;19:22–26. doi: 10.1016/j.gore.2016.11.006

Table 1.

Survey Demographics.

Age Numerical value
Gender Female
Male
Region of the country Northeast
Southeast
Midwest
West
Southwest
Level of practice Fellow
Attending
Retired
Medical specialty Gynecologic oncology
Medical oncology
Radiation oncology
General gynecology
Other
Description of practice Private
Academic
Community
N/A
Years in practice caring for gynecologic oncology patients 1–5
6–9
10–15
16–20
21 +



Reproductive practices
How often do you address fertility concerns with patients prior to treatment? Always
Sometimes
Rarely
Never
How often do you address contraception with patients that maintain fertility potential? Always
Sometimes
Rarely
Never
Do you prescribe or administer contraception? Yes
No
If you address contraception with patients that maintain fertility potential, please check all that apply Oral contraceptive pills
Injection – DMPA
Implant
Intrauterine device
If you prescribe or administer contraception for patients that maintain fertility potential, please check all that apply Oral contraceptive pills
Injection – DMPA
Implant
Intrauterine device
Do you make referrals to: benign gynecologist, family planning specialist, or pediatrician specifically for contraception planning? Yes
No
Do you routinely follow up on the referral for contraception planning to ensure a plan is established? Yes
No
Do you routinely offer referral to Reproductive Endocrinology and Infertility (REI) or Maternal-Fetal Medicine (MFM) for preconception, pretreatment counseling? Yes
No
Do you agree unplanned pregnancy is a potential problem among your patients who maintain fertility potential? Yes
No
Do you feel your patients understand unplanned pregnancy is possible, even in the setting of oncology treatment or surveillance? Yes
No
In the previous year, how many of your patients have experienced an unplanned pregnancy either during or after oncology treatment? 0–5
6–10
11–15
16–20
In the previous five years, how many of your patients have experienced an unplanned pregnancy either during or after oncology treatment? 0–5
6–10
11–15
16–20