NCCN Guidelines for Patients® | Caring for Adolescents and Young Adults - page 27

NCCN Guidelines for Patients
: Caring for Adolescents and Young Adults
Version 2013
Part 3: Preparing for the future
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Initial Cancer
Not at risk
Assess potential risk of fertility problems
At risk
At risk
Not at risk
Begin cancer treatment
Finish diagnostic
testing and staging
Discuss fertility issues
and options with treatment
team and your partner
Sperm banking
Fertility-sparing surgery
Radiation shielding
Fertility-sparing surgery
Radiation shielding
Embryo freezing
Egg freezing
See fertility counselors
and providers
Complete pre-treatment preservation
procedures as needed
Develop a fertility
preservation plan
Develop a cancer
treatment plan
Assess fertility risks
of treatment
Figure 3. Steps to protecting your fertility
Adapted from Flemming F. Developing a community oncofertility program. Oncology Issues 2012; May-–June: 20-–28.
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