Fertility Preservation for
Teens and Young Adult Oncology Patients
Advances in cancer treatments have given
better results for many children, teens, and
young adults diagnosed and treated for
cancer. Some types of cancer treatment can
harm the reproductive system (ovaries or
testicles). Sometimes men and women who
have had cancer treatment have fertility
problems and may no longer be able to have
Talk with your child's doctor about
whether the treatment they will have may
cause fertility problems.
What affects fertility?
1. Type and amount of chemotherapy
2. Dose and location of radiation therapy
3. Location of surgery
5. Pre-existing fertility risk factors
Although not all treatments cause fertility
problems, we want you to be aware of your
child’s options for future family planning.
Are there ways for children, teens, and
young adults to preserve fertility before
starting treatment for cancer?
Medicines to protect the ovaries from harm
due to chemotherapy may stop menstrual
periods during chemotherapy treatment, and
decrease the chance of excessive bleeding.
A recent research study suggests giving a
medicine to turn off the ovaries. Leuprolide
(Lupron®) or Goserelin (Zoladex®) may
help to protect the ovaries from harm due to
chemotherapy. Young women who had their
ovaries "turned off" were more likely to
have periods come back or have a successful
pregnancy after cancer treatment.
Some centers do experimental treatments
using freezing eggs or part of an ovary.
Your doctor will talk with you if these
treatments are appropriate for your child.
For men who have gone through puberty,
sperm can be frozen by a process called
ξ If possible, sperm freezing should be
done before starting chemotherapy.
ξ The cost of saving sperm is not
normally covered by insurance.
ξ Estimated cost of saving sperm is
ξ You are asked to fill out a
questionnaire, have a physical exam,
and have blood and urine testing
around the time of the sperm
If you are interested in cryopreservation
If your child is younger than 18, you should
call: UW Generations Clinic,
If your child is over 18, you or he should
call: UW Generations Clinic,
The staff at Generations explain the process,
the cost, and the tests needed to help you
decide if sperm cryopreservation is right for
Your health care team may have given you this information as part of your care. If so, please use it and call if you have any
questions. If this information was not given to you as part of your care, please check with your doctor. This is not medical advice.
This is not to be used for diagnosis or treatment of any medical condition. Because each person’s health needs are different, you
should talk with your doctor or others on your health care team when using this information. If you have an emergency, please call
911. Copyright © 8/2016. University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department
of Nursing HF#7919