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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



Adoption –

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.


Surrogacy –

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



For women

Radiation shielding

Use of lead shields to protect ovaries during radiation treatment

Embryo freezing

Use of hormonal treatment, egg extraction, and IVF to produce embryos

that can be frozen for later implantation

Ovarian transposition

Surgical repositioning of healthy ovaries so they are out of the radiation


Experimental Options

Egg freezing

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

Ovarian suppression

Medication to stop the ovaries from producing eggs during the treatment


For men

Radiation shielding

Use of lead shields to protect testicles during radiation treatment

Sperm banking

Collection and storage of ejaculate

Experimental Options

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.