So you will not be able to have children by natural sexual intercourse. This is because your sperm cannot pass into your partner's vagina during sex. For men who have had a prostatectomy it might be possible to take sperm directly from your testicles.
The sperm can be used to fertilise your partner directly or with the test tube baby technique in vitro fertilization — IVF. Men who have had radiotherapy or hormone therapy might produce less semen, or no semen. Radiotherapy and hormone therapy can also damage sperm and reduce sperm count. So it might be more difficult for you to have children naturally. It is still possible for men to be fertile during their treatment with radiotherapy, hormone therapy or chemotherapy. Radiation or hormone or chemotherapy drugs could damage a developing baby.
So men are advised to use contraception to avoid pregnancy while having these treatments. After undergoing radical prostatectomy, one of the patients and his wife underwent successful intrauterine insemination and bore a child.
Conclusions: A subset of men, regardless of age, diagnosed with prostate cancer will be interested in preserving their fertility for the future. Fertility options and potential counseling should be part of the routine pretreatment appointments in men undergoing treatment of prostate cancer.
With sperm removal, a health care provider removes pieces of the testicle tissue. If the tissue has sperm, then the sperm can be used to fertilize a woman's egg. Or, it can be frozen and used at a later time. If fertility is a worry for you, be sure to talk about it with your doctor. If able, you'll have this talk before you start your cancer treatment. But if you've started your cancer treatment, you may still have options.
What window of time do I have before I need to start cancer treatment? Will any of my cancer treatments affect my fertility? If so, what are my best options to preserve my fertility? Will the available choices to preserve my fertility impact my cancer treatment? Will my health care plan cover some or all of the fertility preserving options? Do any of the options raise my risk for the cancer coming back?
Is there any chance the treatment could change to something where my fertility would be damaged and what do we do in that situation? For more facts about fertility preservation, visit www. Read the latest issue of Urology Health extra, the Urology Care Foundations patient-focused magazine.
This web site has been optimized for user experience and security, therefore Internet Explorer IE is not a recommended browser. Thank you. Print Save. What is Fertility? Surgery Surgery offers the best chance for removing many types of cancer, especially those that have not spread to other parts of the body. Surgery for Testicular Cancer The surgical removal of a testicle is done for nearly all men with testicular cancer.
Radiation Radiation treatments use high-energy rays to kill cancer cells. Below are radiation types that may impact a man's chance to father a child: Radiation for testicular cancer Radiation for testicular cancer most often targets lymph nodes in the back of the belly.
Radiation for prostate cancer There are two main types of radiation for prostate cancer. Hormone Therapy Hormone therapy is a type of treatment used sometimes by itself, or with other treatments, to care for men with prostate cancer. Fertility Preservation Options For Men, Before Treatment Fertility preservation is when cancer patients take steps to protect their chance for fathering a baby. Sperm Banking This is one of the most successful and least costly choices for men. Shielding Testicles During Radiation This is when the radiation cancer doctor radiation oncologist uses a lead tool to surround the testicles during radiation treatment.
Sperm Extraction If a man cannot ejaculate sperm or has limited sperm in his semen, it's possible he may still have sperm somewhere in his testicles. When to Talk to Your Doctor If fertility is a worry for you, be sure to talk about it with your doctor. Questions to Ask Your Doctor If your doctor says your cancer treatment won't impact fertility
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