If you are at risk for infertility from your cancer treatment, it is important to think about two sets of issues
I. the significance of parenting to you
Questions you may want to ask yourself include:
- Have I always wanted children?
- How many children do I want to have?
- Does it matter to me if my children are biologically related to me?
- Would I prefer adoption to other parenthood options?
- Am I open to using donor sperm or donor embryos?
- How does my partner/spouse feel about all of these issues?
- Do I have ethical or religious concerns about assisted reproductive technologies? (Source: University of Iowa)
If you think you may want to pursue fertility preservation, start with a discussion with your oncologist.
II. The risks, benefits and cost of fertility preservation
- What is the success rate for different methods?
- How safe is ovarian stimulation in estrogen sensitive cancers?
- Is the delay in cancer treatment (average 3 weeks) acceptable to your oncologist?
- If no current male partner would you freeze eggs or embryos (using donor sperm)?
- What are the risks of pregnancy after cancer treatment? (if not using a gestational carrier)
- What are the costs of the method used and are their support groups / insurance coverage to offset cost?
These issues are better discussed with a fertility preservation specialist together with your oncologist
Listen to your physicians, ask for educational material then take few days to think about it. Read more and discuss your options with family and loved ones. There is no need to make an immediate decision.