Bressler LH, et al. - Researchers surveyed US women (a nationwide sample) diagnosed with breast cancer prior to age 45 years, to determine the prevalence of fertility counseling. They used age-adjusted log-binomial regression and estimated prevalence ratios and 95% CIs. They found fertility discussion was related to younger age and lower parity. Non-discussion of fertility with a health care provider and not using fertility preservation strategies was reported by most of the women of reproductive age who were diagnosed with breast cancer, across multiple treatment settings. Concern for an adverse influence on cancer treatment (56%), lack of knowledge (26%), decision to not have a child (24%), and cost (18%) were documented as reasons for not taking steps to preserve fertility, as reported by 68 women with a fertility interest. A critical aspect of patient education is discussing the potential influence of cancer therapy on future fertility.