Cancer treatments (including chemotherapy, radiation, and surgery) can affect the fertility of both women and men. Before starting cancer treatment, the impact of treatment on fertility must be discussed. A cancer diagnosis is a stressful time, and having
to consider future fertility can add to this stress.
The Adult Fertility Preservation (Oncofertility) Program at Dana-Farber/Brigham and Women's Cancer Center recognizes that fertility is an important issue related to long-term quality of life. We offer a wide variety of options for both males and females,
and help patients navigate this important issue.
We work closely with the patient's cancer team to ensure that fertility consultation and discussion of preservation options are integrated into the education of all newly diagnosed patients and that fertility preservation plans are in alignment with cancer
Fertility Preservation Options for Males
Sperm banking is offered to all eligible males who can produce a sample. This is recommended for males who will receive therapy that has a chance of causing permanent damage to sperm production.
Sperm banking and extraction
Sperm banking is the standard intervention to preserve fertility in males. Sperm banking is when you freeze sperm until needed. If a male cannot ejaculate sperm or has limited sperm in his semen, it is possible he may still have sperm in the testicle.
A surgical biopsy of the testicle is performed to obtain a sample of tissue from which sperm are produced. The sperm can then be extracted for banking.
Fertility Preservation Options for Females
Oocyte (egg) and embryo freezing
Egg (oocyte) and embryo banking are well-established ways of preserving fertility in females. Because this process often delays the start of treatment, it is not appropriate for every patient. When a patient's team feels this can be done safely, hormonal
medication is used to stimulate the formation of multiple follicles in the ovary, which contain eggs. These eggs are then removed in a minor surgical procedure and are frozen for the patient's future use to achieve a pregnancy. There have been thousands
of live births from frozen embryos and eggs and both methods are established methods of fertility preservation.
Ovarian tissue cryopreservation
Ovarian tissue freezing is an experimental option available for female patients. The advantage of ovarian tissue freezing does not require time to stimulate eggs in the ovary with medication and can be done quickly. Ovarian tissue freezing also requires
a surgical procedure, in which an entire ovary is removed, processed, frozen, and stored for future use. When the patient wishes to become pregnant, the tissue is then thawed and re-implanted. There is also active research in extracting immature eggs
from ovarian tissue in the laboratory and maturing them for use in in-vitro fertilization, without re-implanting the tissue. So far, successful pregnancies have occurred only after re-implanting the tissue.
Ann Partridge, MD, MPH, Director, Adult Survivorship Program, Dana-Farber Cancer Institute
Philip Poorvu, MD, Breast Oncology Center, Dana-Farber Cancer Institute
Lauren Czapla, NP, Breast Oncology Center/Adult Survivorship Program, Dana-Farber Cancer Institute
Rachel Kathleen Ashby, MD, Obstetrics and Gynecology/Reproductive Endocrinology, Brigham and Women's Hospital
Elizabeth Ginsburg, MD,
Obstetrics and Gynecology Division, Brigham and Women's Hospital
Serene Srouji, MD,
Obstetrics and Gynecology Division/Reproductive Endocrinology, Brigham and Women's Hospital
Patricia Kennedy RN, Nurse Coordinator, Fertility Preservation, Brigham and Women's Hospital
Fertility Preservation Resources
Brigham and Women's Center for Infertility and Reproductive Surgery
Information from one of the premier infertility
and reproductive medicine programs in the U.S.
Dana-Farber/Boston Children's Pediatric Fertility Preservation Program
Livestrong: Becoming a Parent After Cancer
Information on fertility risks, preservation options, and access to discounts
A national, interdisciplinary initiative designed to explore the reproductive future of cancer survivors
A financial assistance program available to patients faced with economic challenges to help with the cost of long-term storage of tissue