Overview

Dr. Meacham is the director of the Fertility Preservation & Reproductive Health Program and endocrine service for the Aflac Cancer and Blood Disorders Center. For over 30 years, her focus has been cancer survivor research, which included cardiovascular health and metabolic syndromes. As part of her research, she was also the site PI for the Childhood Cancer Survivor Study until 2019.

Her current research interests are in reproductive health including: female and male late effects of cancer therapy, fertility status assessments and infertility risk communication. 

Learn more about our Fertility Preservation Program. 

Pediatric Psychology

James Klosky, PhD, ABPP

 

Pediatric Oncology

Brooke Cherven, PhD, MPH, RN, CPON

Sonia Hoey, RN

Rebecca Williamson-Lewis, MPH

 

Pediatric Endocrinology

Briana C Patterson, MD, MS

Sobenna George, MD

Megan Pruett, PNP, RN

 

Reproductive Endocrine Infertility

Jessica Spencer, MD

D. Austin Schirmer, MD

Jennifer Kawwass, MD

 

Pediatric and Adolescent Gynecology

Nancy Sokkary, MD

Andrew Lupo, MD

 

Pediatric Urology

Wolfgang Cerwinka, MD

Akanksha Mehta, MD

Carrie Bedient, MD, Reproductive Endocrine and Infertility, Private Practice, NV

Krista Childress, MD, Pediatric and Adolescent Gynecology, Faculty, University of Utah, Salt Lake City, UT

Hahn Cottrell, MD, Reproductive Endocrine and Infertility, Private Practice, MI

Karen Effinger, MD, MSc, Pediatric Hematology/Oncology, Faculty, Emory University, Atlanta, GA

Swati Elchuri, MD, Pediatric Endocrinology, Private Practice, Twelve Oaks, CA

Sabrina Gerkowicz, MD, Reproductive Endocrine and Infertility, Private Practice, Miami, FL

Heather Hipp, MD, Reproductive Endocrine and Infertility, Faculty, Emory University, Atlanta, GA

James Ludemann, MRN, CPHON, OCN

Audrey Marsidi, MD, Reproductive Endocrine and Infertility, Faculty, Emory Healthcare, Atlanta, GA

D. Austin Schirmer, MD, Reproductive Endocrine and Infertility, Faculty, Emory University, Atlanta, GA

Reproductive Health

Close A, Burns K, Bjornard K, Webb M, Chavez J, Chow E and Meacham LR. Fertility Preservation in Pediatric Leukemia and Lymphoma:A Report from the Children’s Oncology Group. Pediatr Blood Cancer. 2023 Aug;70(8):e30407. doi: 10.1002/pbc.30407. Epub 2023 May 17.PMID: 37194406 

Pruett MC, Wiliamson Lewis R, Klosky J, Effinger K, Meacham LR* and Cherven B* co last aurthors. Diminished Ovarian Reserve in Adolescent Cancer Survivors Treated with Heavy Metal Chemotherapy. Pediatr Blood Cancer. 2023 Aug;70(8):e30448. doi: 10.1002/pbc.30448. Epub 2023 May 27.PMID: 37243931 

Frederick NN, Klosky JL, Meacham L, Quinn GP, Kelvin JF, Cherven B, Freyer DR, Dvorak CC, Brackett J, Ahmed-Winston S, Bryson E, Su HI, Chow EJ, Levine J. Fertility Preservation Practices at Pediatric Oncology Institutions in the United States: A Report From the Children's Oncology Group. JCO Oncol Pract. 2023 Apr;19(4):e550-e558. doi: 10.1200/OP.22.00349. Epub 2023 Feb 10.PMID: 36763922 

Mulder RL, Font-Gonzalez A, Hudson MM, van Santen HM, Loeffen EAH, Burns KC, Quinn GP, van Dulmen-den Broeder E, Byrne J, Haupt R, Wallace WH, van den Heuvel-Eibrink MM, Anazodo A, Anderson RA, Barnbrock A, Beck JD, Bos AME, Demeestere I, Denzer C, Di Iorgi N, Hoefgen HR, Kebudi R, Lambalk C, Langer T, Meacham LR, Rodriguez-Wallbert K, Stern C and Stutz-Grunder E. Recommendations for fertility preservation for female childhood, adolescent and young adult cancer patients: a report from the PanCareLIFE consortium in collaboration with the International Late Effects of Childhood Cancer Guideline Harmonization. Lancet Oncol. 2021 Feb;22(2):e45-e56. doi: 10.1016/S1470-2045(20)30594-5

Van der Kooi ALF, Mulder RL, Hudson MM, Kremer LCM, Skinner R, Constine L, van Dorp W, van Dulmen-den Broeder E, Falck Winther J, Wallace WHB, Waugh J, Woodruff TK, Anderson RA, Armenian SH, Bloemenkamp K, Critchley H, Demoor C, Ehrhardt M, Green D, Grohman W, Iwahata Y, Krishna J, Laven JSE, Levitt G, Meacham LR, Miller E, Mulders A, Polanco A, Ronckers C, Samuel A, vanden Heuvel-Ebrink MM and Levine JM. Recommendations for counseling and surveillance of obstetric risks for female survivors of childhood, adolescent, and young adult cancer: a report from the International Late Effects of Childhood Cancer Guideline Harmonization Group. Accepted A m J Obstet Gynecol. 2020 Jun 2:S0002-9378(20)30614-1. doi: 10.1016/j.ajog.2020.05.058. Online ahead of print. PMID: 32502557

Meacham LR, Burns K, Orwig K and Levine J. Standardizing Risk Assessment for Treatment Related Gonadal Insufficiency and Infertility in Childhood Adolescent and Young Adult Cancer: the PIN Risk Stratification System. J Adolesc Young Adult Oncol. 2020 May 26. doi: 10.1089/jayao.2020.0012. Online ahead of print. PMID: 32456570 

George SA, Lewis RW, McKenzie L, Cherven B, Patterson BC, Effinger KE, Mertens AC, Meacham LR. Assessment of ovarian function in adolescents and young adults after childhood cancer treatment – How accurate are young adult/parent proxy-reported outcomes? Pediatr Blood Cancer. 2019 Dec;66(12):e27981. doi: 10.1002/pbc.27981. Epub 2019 Sep 10. PMID: 3150237

George, S, Williamson-Lewis R, Schirmer D, Effinger K, Spencer JB, Mertens AC, Meacham LR. Early Detection of Ovarian Dysfunction by anti-Mullerian Hormone in Adolescent and Young Adult Aged Survivors of Childhood Cancer.  J Adolesc Young Adult Oncol. 2019 Feb;8(1):18-25. doi: 10.1089/jayao.2018.0080. Epub 2018 Oct 3. PMID: 30281375

Skinner R, Mulder RL, Kremer LC, Hudson MM, Constine LS, Bardi E, Boekhour A, Borgman-Staudt A, Brown MC, Cohn R, Dirksen U, Giwercman A, Ishiguro H, Jahnukainen K, Kenney LB, Loonen JJ, Meacham L, Neggers S, Nussey S, Peterson C, Shnorhavorian M, van den Huevel MM, van Santen HM, Wallace WHB, Green DM. Recommendations for Gonadotoxicity Surveillance in Male Childhood, Adolescent and Young Adult Cancer Survivors: A Report from the International Late Effects of Childhood Cancer Guideline Harmonization Group in Collaboration with the PanCareSurFup consortium. Lancet Oncol. 2017 Feb;18(2):e75-e90. doi: 10.1016/S1470-2045(17)30026-8. Review. PMID: 28214419

Van Dorp W, Mulder RL, Kremer LC, Hudson MM, van den Heuvel-Eibrink MM, van den Berg MH, Levine JM, van Dulmen-den Broeder E, di Iorgi N, Albanese A, Armenian SH, Bhatia S, Constine SL, Corrias A, Deans R, Dirksen U, Gracia C, Hjorth L, Kroon L, Lambalk CB, Landier W, Levitt G, Leiper A, Meacham L, Mussa A, Neggers SJ, Oeffinger KC, Revelli A, van Santen HM, Skinner R, Toogood A, Wallace WH, Haupt R.  Recommendations for Premature Ovarian Insufficiency Surveillance for Female Childhood, Adolescent and young Adult Cancer Survivors: A Report from the International Late Effects of Childhood Cancer Guideline Harmonization Group in Collaboration with the PanCareSurFup Consortium. J Clin Oncol. 2016 Jul 25. pii: JCO643288. [Epub ahead of print] Review. PMID: 27458300

Ritenour, CW, Seidel KD, Leisenring W, Mertens AC, Wasilewski-Masker K, Shnorhavorian M, Sklar CA, Whitton JA, Stoval M, Constine LS, Armstrong GT, Robison LL and Meacham LR. Erectile Dysfunction in Male Survivors of Childhood Cancer—A Report from the Childhood Cancer Survivor Study. J Sex Med. 2016 Apr 21. pii: S1743-6095(16)30054-6. doi: 10.1016/j.jsxm.2016.03.367. [Epub ahead of print] PMID: 27117527

Wasilewski-Masker K, Seidel KD, Leisenring W, Mertens A, Shonorhavorian M, Ritenour C, Stoval M, Green DM, Sklar CA, Armstrong GT, Robison LL, Meacham LR. Male Infertility in long-term survivors of pediatric cancer: a report from the Childhood Cancer Survivor Study.  J Cancer Survivor. 2014 Sep;8(3):437-47. doi: 10.1007/s11764-014-0354-6. Epub 2014 Apr 8. PMID: 24711092

 

Reproductive Health in Sickle Cell Disease

Meacham LR, George SA, Veludhand A, Pruett MC, Haight AE, Arnold SD, Elchuri S, Stenger E and Krishnamurti L. Female Reproductive Health Outcomes after Hematopoietic Cell Transplantation for Sickle Cell Disease: is Reduced Intensity better than Myeloablative Conditioning? Transplant Cell Ther. 2023 Aug;29(8):531.e1-531.e4. doi: 10.1016/j.jtct.2023.05.004. Epub 2023 May 9.PMID: 37169288 

Pecker LH, Oteng-Ntim E, Nero A, Lanzkron S, Christianson M, Woolford T, Meacham LR and Mishkin AD.  Expecting more: the case for incorporating fertility services into comprehensive sickle cell disease care. Invited commentary for Lancet Haematol. 2023 Mar;10(3):e225-e234. doi: 10.1016/S2352-3026(22)00353-2. Epub 2023 Jan 25. Review PMID: 36708736  

Sinha CB, Meacham LR, Bakshi N, Ross D and Krishnamurthi L. Parental perspective on the risk of infertility and fertility preservation options for children and adolescents with SCD considering HCT. Pediatr Blood Cancer. 2023 Jul;70(7):e30276. doi: 10.1002/pbc.30276. Epub 2023 Apr 13.PMID: 37051746 

Krishnamurti L, Arnold SD, Haight A, Abraham A, Guilcher GM, John T, Bakshi N, Shenoy S, Syrjala K, Martin PL, Chaudhury S, Eames G, Olowoselu OF, Hsieh M, De La Fuente J, Kasow KA, Stenger E, Mertens A, El-Rassi F, Lane P, Shaw BE, Meacham L, Archer D. Sickle Cell Transplantation Evaluation of Long-Term and Late Effects Registry (STELLAR) to Compare Long-Term Outcomes After Hematopoietic Cell Transplantations to Those in Siblings without Sickle Cell disease and Non-transplanted individuals with Sickle Cell Disease. 2022. JMIR Res Protoc.  2022 Jul 6;11(7):e36780. doi: 10.2196/36780.PMID: 35793124  

Meacham LR, Pecker LH, Gee BE and Mishkin AD.  Incorporating gonadal health counseling into pediatric care of sickle cell patients. Hematology Am Soc Hematol Educ Program. 2022 Dec 9;2022(1):442-449. doi: 10.1182/hematology.2022000382.PMID: 36485118 

George SA, Lei KW, Williamson Lewis R, Bryson EW, Haight AE and Meacham LR. Comparison of anti-Mullerian hormone levels pre- and post-hematopoietic cell therapy in pediatric and adolescent females with sickle cell disease.  2002. Transplant Cell Ther. 2022 Nov;28(11):770.e1-770.e6. doi: 10.1016/j.jtct.2022.08.014. Epub 2022 Aug 20.PMID: 35995392,  

Elchuri SV, Quarmyne M, Haight A, Cottrell H, Meacham LR. Longitudinal Description of Gonadal Functions in Sickle Cell Patients treated with Alkylator based Conditioning Regimens for Bone Marrow TransplantJ Pediatr Hematol Oncol. 2020 Mar 20. doi: 10.1097/MPH.0000000000001782. [Epub ahead of print] PMID: 32205784

 

Risk Communication

Nahata L, Anazodo A, Cherven B, Logan S, Meacham LR, Meade CD, Zarnegar-Lumley S and Quinn GP.  Optimizing Health Literacy to Facilitate Reproductive Health Decision Making in Adolescent and Young Adults with Cancer. Pediatr Blood Cancer. 2023 Sept70: doi: 10.1002/pbc.28476. PMID: 32633029 

Cherven BO, Lewis RW, Pruett MC, Meacham LR* and Klosky J* (*co-senior authors). Interest in fertility status assessment among young adult survivors of childhood cancer. 10.1002/cam4.4887. Advance online publication. https://doi.org/10.1002/cam4.4887 

Cherven B, Meacham L, Williamson Lewis R, Klosky J and Gilleland Marchak J. Evaluation of the modified reproductive concerns scale among emerging adult cancer survivors. J Adolesc Young Adult Oncol. 2021 Dec;10(6):661-667. doi: 10.1089/jayao.2020.0219. Epub 2021 Mar 26.PMID: 33769891

Meacham LR, Burns K, Orwig K and Levine J. Standardizing Risk Assessment for Treatment Related Gonadal Insufficiency and Infertility in Childhood Adolescent and Young Adult Cancer: the PIN Risk Stratification System. J Adolesc Young Adult Oncol. 2020 May 26. doi: 10.1089/jayao.2020.0012. Online ahead of print. PMID: 32456570.

Meacham LR, Williamson Lewis R, Cherven BO, Effinger KE, Klosky J, and Gilleland-Marchak J.  Educational Intervention to Address Infertility Related Knowledge Gaps Among Adolescent and Young Adult (AYA) Survivors of Childhood Cancer. Submit J Adolesc Young Adult Oncol. 2020 Feb 18. doi: 10.1089/jayao.2019.0156. [Epub ahead of print] PMID: 32069427

Marchak JG, Cherven B, Williamson Lewis R, Edwards P, Meacham LR, Palgon M, Escoffery C, Mertens AC. User-centered design and enhancement of an electronic personal health record to support survivors of pediatric cancer. Support Care Cancer. 2019 Dec 18. doi: 10.1007/s00520-019-05199-w. [Epub ahead of print] PMID: 31853699

Gilleland Marchak J, Siedel KD, Mertens AC, Ritenour CWM, Wasilewski-Masker K, Leisenring W, Sklar CA, Ford J, Krull K, Stovall M, Robison LL, Armstrong  GT, Meacham LR. Perceptions of risk for infertility among male survivors of childhood cancer:  A report from the Childhood Cancer Survivor Study.  Cancer. 2018 Apr 17. doi: 10.1002/cncr.31343. [Epub ahead of print] PMID: 29663341

 

Other Endocrine Late Effects

Van Iersel L, Mulder RL,Denzer C, Cohen LE, Spoudeas HA, Meacham LR, Sugden E, Schouten-van Meeteren AYN, Hoving FW, Packer RJ, Armstrong GT, Mostoufi-Moab G, Stades AM, van Vuurden D, Janssens GO, Thomas-Teinturier C, Murray RD, di Iorgi N, Neggers SJCMM, Thompson J, Toogood AA, Gleeson H, Follin C, Bardi E, Torno L, Patterson B, Morsellino V, Sommer G, Clement SC, Srivastava D, Kiserud CE, Fernandez A, Scheinemann K, Raman S, Yuen KCJ, Wallace WH, Constine LS, Skinner R, Hudson MM, Kremer LCM, Chemaitilly W and van Santen HM. Hypothalamic-pituitary and Other Endocrine Surveillance Among Childhood Cancer Survivors. 2022. Endocr Rev. 2022 Sep 26;43(5):794-823. doi: 10.1210/endrev/bnab040.PMID: 34962573 

Boguszewski MCS, Boguszewski CL, Chemaitilly W, Cohen LE, Gebauer J, Higham C, Hoffman AR, Polak M, Yuen KCJ, Alos N, Antal Z, Bidlingmaier M, Biller BMK, Brabant G, Choong CSY, Cianfarani S, Clayton PE, Coutant R, Cardoso-Demartini AA, Fernandez A, Grimberg A, Gudmundsson K, Guevara-Aquirre J, Ho KKY, Horikawa R, Isidori AM, Jorgensen JOL, Kamenicky P, Karavitaki N, Kopchick JJ, Lodish M, Luo XP, McCormack AI, Meacham L, Melmed S, Sogol Mostoufi-Moab S, Müller HL, Neggers SJCMM, Aguiar-Oliveira MH, Ozono K, Pennisi PA, Popovic V, Radovick S, Savendahl L, Touraine P, van Santen HM, Johannsson G.  Safety of growth hormone replacement in survivors of cancer and intra-cranial and pituitary tumours – A concensus statement. Eur J Endocrinol. 2022 Mar 1: EJE-21-1186. Doi: 10.1530/EJE-21-1186. On line ahead of print. PMID: 35319491. 

Patterson BC and Meacham LR. Growth Hormone Deficiency and Growth Hormone Replacement in Childhood Cancer Survivors. Felicetti F, Brignardello E, van Santen HM (eds): Endocrine and Metabolic Late Effects in Cancer Survivors. Front Horm Res. 2021 Apr 30;54:1-11. doi: 10.1159/000515111 

George SA, Effinger KE and Meacham LR.  Endocrine Sequelae in Childhood Cancer Survivors. Endocrinol Metab Clin North Am. 2020 Dec;49(4):565-587. doi: 10.1016/j.ecl.2020.07.001. Epub 2020 Oct 13. PMID: 33153668

Van Santen HM, Chemaitilly W, Meacham LR, Tonoreze E, Moustoufi-Moab S. Endocrine Health in Childhood Cancer Survivors. Pediatr Clin North Am. 2020 Dec;67(6):1171-1186. doi: 10.1016/j.pcl.2020.08.002. PMID: 33131540 

Sklar CS, Zoltan A, Chematilly W, Cohen LE, Follin C, Meacham LR, Murad H. Hypothalamic-Pituitary and Growth Disorders in Survivors of Childhood Cancer: an Endocrine Society Clinical Practice Guideline.  J Clin Endocrinol Metab. 2018 Jun 29. doi: 10.1210/jc.2018-01175. [Epub ahead of print] PMID: 29982476

Chemaitilly W, Cohen LE, Mostoufi-Moab S, Patterson BC, Meacham LR, van Santen HM, Sklar CA.  Endocrine Late Effects in Childhood Cancer Survivors.  J Clin Oncol. 2018 Jun 6:JCO2017763268. doi: 10.1200/JCO.2017.76.3268. [Epub ahead of print] PMID: 29874130

Moustoufi-Moab S, Seidel K, Leisenring W, Armstrong G, Oeffinger K, Stovall M, Meacham L, Green D, Weathers R, Ginsberg J, Robison L, Sklar C. Endocrine Abnormalities Increase with Age in Survivors of Childhood Cancer: A Report from the Childhood Cancer Survivor Study.  2016 J Clin Oncol. 2016 Sep 20;34(27):3240-7. doi: 1200/JCO.2016.66.6545. Epub 2016 Jul 5. PMID: 27382091

 

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Katz Foundation Grant 9/2021-4/2024 

Fertility Preservation for Sickle Cell Patients Before Bone Marrow Transplant 

Provides fertility preservation services to sickle cell patients before bone marrow transplant and is supporting a pilot study evaluating the integrity of tissue harvested for ovarian tissue cyropreservation 

Role: Co-Investigator

 

NCI: R01 CA218389-01

SurvivorLink: Scalability of an Electronic Personal Health Record for Cancer Survivors and Caregivers at Pediatric Cancer Centers

Role: Co-Investigator

PI: Mertens and Escoffrey

 

NHLBI: K23 HL143164-01

STELLAR – Sickle Cell Transplant Evaluation of Long-Term and Late Effects Registry

Role: Co-Investigator

PI: Krishnamurti