Web Exclusive: Find a Clinical Trial That's Right for You
July 09, 2009
Web Exclusive: Find a Clinical Trial That's Right for You
July 09, 2009
Web Exclusive: A Q&A with an Extraordinary Healer
June 30, 2009 – Kathy LaTour
Web Exclusive: Types of Kidney Cancer
June 25, 2009 – The American Cancer Society
Web Exclusive: Helpful Advice
June 25, 2009 – Elizabeth Whittington
Web Exclusive: Developing a Strategy
June 25, 2009 – Elizabeth Whittington
Web Exclusive: Searching for New Targets
June 23, 2009 – Elizabeth Whittington
Web Exclusive: When Survivors Should Exercise Caution
June 22, 2009 – Lena Huang
Web Exclusive: Fertility Guidelines Not Meeting Needs of Patients
June 22, 2009 – Elizabeth Whittington
Web Exclusive: A Peaceful Spirit
June 18, 2009 – Toby Bressler, RN, BSN, OCN
Web Exclusive: The Voice on the Other End of the Phone
June 18, 2009 – Dianne Ericson
Excerpt: Stronger
June 17, 2009 – Natalie Flechsig
Web Exclusive: An Infection Out of Nowhere
June 16, 2009
Web Exclusive: Solving a Medical Mystery
June 16, 2009 – Debu Tripathy, MD
Web Exclusive: Clinical Trials for CUP
June 16, 2009
Childhood Cancer Survivorship Programs
June 16, 2009
Chicken Soup for the Soul: The Cancer Book
June 15, 2009 – Kathy LaTour
Improved Care Needed for Patients Receiving Heart-Toxic Drugs
June 15, 2009 – Melissa Weber
Cancer Research Receives Infusion of Federal Funds
June 15, 2009 – Lacey Meyer
Resources
June 09, 2009
P.S. A Word About Implants & Some Unanswered Questions
June 09, 2009 – Kathy LaTour
How to Find a Cancer Trainer
June 09, 2009 – Lena Huang
Smarter Trials for Smarter Drugs
June 09, 2009 – Laura Beil
Sticker Shock
June 09, 2009 – Laura Beil
Resources
June 09, 2009
From Cancer Warrior to Basketball Player
June 09, 2009 – Deirdre Carey
Taking a Closer Look
June 09, 2009 – Karen Patterson
Surgical Strategies
June 09, 2009 – Karen Patterson
Hair Loss Snapshot
June 09, 2009 – Lacey Meyer
Weighing the Techniques
June 09, 2009 – Charlotte Huff
What About CUP Patients?
June 09, 2009 – Katy Human
Hard Times
June 09, 2009 – Joanne Kenen
Reconstruction Do-Overs
June 09, 2009 – Kathy LaTour
Fighting Fatigue
June 09, 2009 – Lena Huang
Disjointed Custody
June 09, 2009 – Charlotte Huff
No I.D.
June 09, 2009 – Katy Human
ASCO Updates
June 09, 2009 – Staff Reports
Interventions Needed to Get Survivors Moving
June 09, 2009 – Lena Huang
The Financial Advocate
June 09, 2009 – Kathy LaTour
Ovarian Cancer Survivors Course
June 09, 2009
Q & A: Prostate Cancer Screening
June 09, 2009 – Len Lichtenfeld, MD
www.armyofwomen.org
June 09, 2009 – Elizabeth Whittington
With a Friend Like Will Ferrell...
June 09, 2009 – Lacey Meyer
Program Keeps Tabs on Childhood Cancer Survivors
June 09, 2009 – Lacey Meyer
Revisiting the Seasons of Survival
June 09, 2009 – Kenneth D. Miller, MD
Prostate, Brain & Kidney Cancers
June 09, 2009 – Elizabeth Whittington
A Life Beyond Cancer
June 09, 2009 – Renée La Forest
Good Grilling
June 09, 2009 – Lena Huang
Medical Devices Face Stricter Regulations
June 09, 2009 – Jo Cavallo
All Is Not Lost
June 09, 2009 – Lacey Meyer
Letters from Our Readers
June 09, 2009
Message from the Editor
June 09, 2009 – Debu Tripathy, MD
Targeted Therapy: Hope or Hype?
June 09, 2009 – Laura Beil
Conquering Cancer & the Classroom
June 09, 2009 – Scott Williams
Reining in Renal Cancer
June 09, 2009 – Karen Patterson
Web Exclusive: Find a Clinical Trial That's Right for You
July 09, 2009
Web Exclusive: Find a Clinical Trial That's Right for You
July 09, 2009
Web Exclusive: A Q&A with an Extraordinary Healer
June 30, 2009 – Kathy LaTour
Web Exclusive: Types of Kidney Cancer
June 25, 2009 – The American Cancer Society
Web Exclusive: Helpful Advice
June 25, 2009 – Elizabeth Whittington
Web Exclusive: Developing a Strategy
June 25, 2009 – Elizabeth Whittington
Web Exclusive: Searching for New Targets
June 23, 2009 – Elizabeth Whittington
Web Exclusive: When Survivors Should Exercise Caution
June 22, 2009 – Lena Huang
Web Exclusive: Fertility Guidelines Not Meeting Needs of Patients
June 22, 2009 – Elizabeth Whittington
Web Exclusive: A Peaceful Spirit
June 18, 2009 – Toby Bressler, RN, BSN, OCN
Web Exclusive: The Voice on the Other End of the Phone
June 18, 2009 – Dianne Ericson
Excerpt: Stronger
June 17, 2009 – Natalie Flechsig
Web Exclusive: An Infection Out of Nowhere
June 16, 2009
Web Exclusive: Solving a Medical Mystery
June 16, 2009 – Debu Tripathy, MD
Web Exclusive: Clinical Trials for CUP
June 16, 2009
Childhood Cancer Survivorship Programs
June 16, 2009
Chicken Soup for the Soul: The Cancer Book
June 15, 2009 – Kathy LaTour
Improved Care Needed for Patients Receiving Heart-Toxic Drugs
June 15, 2009 – Melissa Weber
Cancer Research Receives Infusion of Federal Funds
June 15, 2009 – Lacey Meyer
Resources
June 09, 2009
P.S. A Word About Implants & Some Unanswered Questions
June 09, 2009 – Kathy LaTour
How to Find a Cancer Trainer
June 09, 2009 – Lena Huang
Smarter Trials for Smarter Drugs
June 09, 2009 – Laura Beil
Sticker Shock
June 09, 2009 – Laura Beil
Resources
June 09, 2009
From Cancer Warrior to Basketball Player
June 09, 2009 – Deirdre Carey
Taking a Closer Look
June 09, 2009 – Karen Patterson
Surgical Strategies
June 09, 2009 – Karen Patterson
Hair Loss Snapshot
June 09, 2009 – Lacey Meyer
Currently Viewing
Weighing the Techniques
June 09, 2009 – Charlotte Huff
Hard Times
June 09, 2009 – Joanne Kenen
Reconstruction Do-Overs
June 09, 2009 – Kathy LaTour
Fighting Fatigue
June 09, 2009 – Lena Huang
Disjointed Custody
June 09, 2009 – Charlotte Huff
No I.D.
June 09, 2009 – Katy Human
ASCO Updates
June 09, 2009 – Staff Reports
Interventions Needed to Get Survivors Moving
June 09, 2009 – Lena Huang
The Financial Advocate
June 09, 2009 – Kathy LaTour
Ovarian Cancer Survivors Course
June 09, 2009
Q & A: Prostate Cancer Screening
June 09, 2009 – Len Lichtenfeld, MD
www.armyofwomen.org
June 09, 2009 – Elizabeth Whittington
With a Friend Like Will Ferrell...
June 09, 2009 – Lacey Meyer
Program Keeps Tabs on Childhood Cancer Survivors
June 09, 2009 – Lacey Meyer
Revisiting the Seasons of Survival
June 09, 2009 – Kenneth D. Miller, MD
Prostate, Brain & Kidney Cancers
June 09, 2009 – Elizabeth Whittington
A Life Beyond Cancer
June 09, 2009 – Renée La Forest
Good Grilling
June 09, 2009 – Lena Huang
Medical Devices Face Stricter Regulations
June 09, 2009 – Jo Cavallo
All Is Not Lost
June 09, 2009 – Lacey Meyer
Letters from Our Readers
June 09, 2009
Message from the Editor
June 09, 2009 – Debu Tripathy, MD
Targeted Therapy: Hope or Hype?
June 09, 2009 – Laura Beil
Conquering Cancer & the Classroom
June 09, 2009 – Scott Williams
Reining in Renal Cancer
June 09, 2009 – Karen Patterson

VISIT US IN CHICAGO JUNE 2-4 AT BOOTH 2073!

Weighing the Techniques

Several factors must be weighed when making a decision about fertility preservation techniques.

BY Charlotte Huff
PUBLISHED June 09, 2009

The fertility preservation technique that a patient selects—particularly if the patient is female—will likely depend not only on the legal issues involved, but also the time window before chemotherapy must begin. Cost may also be a factor. If in vitro fertilization (IVF) is involved, the cost can run $10,000 to $15,000 per cycle, says Clarisa Gracia, MD, a fertility preservation specialist at the University of Pennsylvania Health System. Many couples don’t have insurance coverage for IVF, and a cancer-related need doesn’t seem to make a difference, she says. In February, a review article published in The New England Journal of Medicine outlined the various techniques and related issues.

Sperm: Practice has shown that sperm remains usable for more than two decades, says Teresa Woodruff, PhD, an author of the NEJM article. Men who are able can quickly bank vials prior to treatment. “There really isn’t a downside to sperm banking,” Woodruff says.

Embryos: For women, banking embryos before treatment provides the best odds of a future pregnancy. Success rates vary depending upon the clinic used. Nationally the odds of a transfer of once-frozen embryos resulting in a live birth, when women used their own eggs, reach 34 percent in women under the age of 35 and nearly 21 percent for women in their early 40s, according to data from the Society for Reproductive Technology.

Eggs: More than 100 births have resulted from frozen eggs, the NEJM authors wrote. One drawback: the eggs contain significant water, making them vulnerable to damage during the freezing process, Woodruff says. Researchers are developing better freezing techniques, Gracia says. “It’s a very reasonable option for patients to consider,” she says, adding, however, that “at this point, you cannot say that [freezing eggs] is as effective as embryo freezing.”

Ovarian tissue: Ovarian tissue can be frozen, in the hope of later producing eggs in the laboratory or by transplanting the tissue back into the woman’s body. (The NEJM article cites several births to date involving transplanted tissue that followed cancer treatment.) The technique, if tissue is transplanted, may carry a risk of reintroducing cancer cells. But it also presents an option for minors, women who can’t delay chemotherapy, or women concerned about the potential cancer-stimulating risks of hormone stimulation to produce eggs.

American Society of Clinical Oncology’s patient site Cancer.net
888-651-3038; www.cancer.net
In 2006, ASCO published guidelines about fertility preservation in cancer patients. To access them, type the phrase “fertility preservation” into the search box.

Fertile Hope
888-994-HOPE; www.fertilehope.org
The New York City nonprofit, founded by cancer survivor Lindsay Nohr Beck, assists cancer patients at risk for infertility. It also works with companies and fertility clinics in an effort to obtain discounts for related medical treatments.

Oncofertility Consortium
866-708-3378 www.myoncofertility.org; oncofertility.northwestern.edu
This national consortium, supported by a National Institutes of Health grant for interdisciplinary research, is focused on medical, financial, and other aspects of reproductive options for cancer patients and survivors as well as parents of young patients.

Continue the conversation on CURE’s forum. >>
Talk about this article with other patients, caregivers, and advocates in the CURE discussion group.

Related Articles

1
×

Sign In

Not a member? Sign up now!
×

Sign Up

Are you a member? Please Log In