What Do I Do Now? - 65

65
SIDE EFFECTS AND SYMPTOM MANAGEMENT /// CHAPTER 41
How do I know if I
am at risk for future
infertility?
Several studies have been done
focusing on the fertility of cancer
survivors receiving different types of
treatment. This has helped doctors
better understand how treatments
affect fertility.
Future infertility risk ranges from
low risk to high risk. You will receive
a fertility risk assessment before
treatment begins and any time your
plan changes. Your risk assessment
looks at:
» Type and doses of chemotherapy
you will receive
» Dose and area of radiation planned
» Surgery to your reproductive organs
Any risk assessment is an estimate,
not a definitive statement of what will
happen to you. As we continue to learn
more about the impact of treatment
on fertility, your risk assessment could
change.
What can I do to protect my future
fertility if I am at risk?
Fertility Preservation:
If treatment reduces your fertility, before treatment begins, there are ways
to save your sperm for future use. The fertility preservation methods we
can offer will depend on your age, the type of treatment you will receive,
and if you will need to begin treatment immediately. It is your choice to
participate in fertility preservation.
After Puberty
Sperm Banking
Testicular Sperm Extraction
Before & After Puberty
Testicular
Shielding
Testicular Tissue
Cryopreservation
Testes covered with a lead shield for protection during radiation
to the pelvis.
A small piece of testicular tissue is surgically removed and frozen
for possible future use.
This is an experimental procedure available through a research
study. There are currently no children born using this method.
There are costs to preserving your fertility. Insurance may not cover any
expenses. They break down in the following ways.
Prior to treatment, at the time of
collection.
In the years are collection until
you decide to use it.
When ready to have a child.
Processing semen for
storage.
Storing your sperm.
Using your sperm to
conceive a child.
$200 one-time cost.
$100-$400 per year.
$8,000 to $20,000 based
on today's rates.
Note: Resources are available to assist in covering these costs. Ask your
navigator for more information.
Reproductive Endocrinologists: Using your stored sperm or testicular
tissue requires the help of doctors specially trained in the field of
Assisted Reproduction. There is a very good chance that you will need
to use a process called In Vitro Fertilization (IVF) to conceive a child. A
Reproductive Endocrinologist can talk with you and your partner about this
process and its success rates. Your navigator can assist with a referral.
Semen collected, most commonly by masturbation.
Frozen and stored at a sperm bank for future use.
A needle is used to remove sperm from the testis.
Frozen and stored at a sperm bank for future use.

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What Do I Do Now?

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