NCCN Guidelines for Patients® | Caring for Adolescents and Young Adults - page 31

31
NCCN Guidelines for Patients
®
: Caring for Adolescents and Young Adults
Version 2013
Part 3: Preparing for the future
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How would you feel about using donor sperm or donor embryos?
How would you feel about having a surrogate bear your child?
Do you have any religious or ethical concerns about technologies such as
IVF (
i
n
v
itro
f
ertilization) or embryo transplantation?
You will also want to think about finances. All fertility preservation methods have
an out-of-pocket cost, and many treatments are still considered experimental.
You’ll need to check with your insurance company about what they will cover.
(Often a nurse navigator, case manager, or social worker can help get this
information and deal with the insurance company.)
Fortunately, the LIVE
STRONG
Foundation’s Fertile Hope program can help
offset the cost of fertility preservation for many cancer patients. The program’s
Sharing Hope financial assistance program assists with access to discounted
sperm, embryo, and egg banking services at participating centers throughout
the U.S. Applications and information are available at
/
financial-assistance/index.cfm.
Understanding your options
Your fertility preservation options will vary depending on your age, your
gender, the type of cancer you have, and the type of treatment you are going
to receive. Most techniques that can increase your chances of having children
must be done before treatment starts, and some—such as embryo freezing—
may require delaying treatment for several weeks. If that isn’t possible, your
oncofertility team can counsel you on other options that can be done after
treatment. (For a summary of fertility preservation methods and their costs,
including experimental options, see Table 3.)
Definitions
Embryo:
A fertilized egg
that has been dividing and
growing for up to 8 weeks
Gynecologic oncologist:
Doctor who’s an expert
in treating cancer that
starts in the female organs
involved in making babies
Infertility:
The inability to
become pregnant and have
babies
IVF:
Procedure that
removes eggs from the
ovaries and combines them
with sperm for fertilization
in a lab
Oncofertility:
Approach
when cancer doctors and
reproductive specialists
work together to preserve
fertility (ability to have
babies) in cancer patients
Sperm:
Male reproductive
cells that are formed in the
testicles
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