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25

NCCN Guidelines for Patients

®

Adolescents and Young Adults with Cancer, Version 1.2017

Figure 5. Steps to protecting your fertility

3

Preparing for the future

Can I have children after cancer treatment?

Adapted from Flemming F. Developing a community oncofertility program.

Oncology Issues

2012; May–June: 20–28.

Initial cancer

diagnosis

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

Men

Sperm banking

Fertility-sparing surgery

Radiation shielding

Etc.

woMen

Fertility-sparing surgery

Radiation shielding

Embryo freezing

Egg freezing

Etc.

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