NCCN Guidelines for Patients
Adolescents and Young Adults with Cancer, Version 1.2017
to produce multiple eggs. The donor embryos
are donated by couples who have chosen not
to use their frozen embryos. Donor eggs are
fertilized through IVF using a partner’s—or
This is an option for anyone who
wants to become a parent. Some adoption
agencies may require that you be cancer-free
and off treatment for a certain amount of time
before adopting a child.
If treatment-related damage to
the reproductive organs makes it impossible
to carry a child, couples who have frozen
embryos may consider using a surrogate.
A surrogate is a woman who volunteers to
have the embryos inserted into her uterus.
She will then go through pregnancy and birth.
Sometimes the surrogate is a relative or friend.
Preparing for the future
What are my options?
Chart 2. Fertility preservation methods
Use of lead shields to protect ovaries during radiation treatment
Use of hormonal treatment, egg extraction, and IVF to produce embryos
that can be frozen for later implantation
Surgical repositioning of healthy ovaries so they are out of the radiation
Extraction and storage of unfertilized eggs
Ovarian tissue freezing
Removal of healthy ovarian tissue (or whole ovary) for transplantation
back into the body after treatment
Medication to stop the ovaries from producing eggs during the treatment
Use of lead shields to protect testicles during radiation treatment
Collection and storage of ejaculate
Testicular sperm extraction
Extraction of sperm from testicular tissue
These techniques have not been proven to be effective and generally are not covered by insurance.