Cancer and Fertility Treatment - What to do Before, During, and After

Cancer and Fertility Treatment - What to do Before, During, and After 

On World Cancer Day, we’re reminded that cancer care isn’t just about the initial treatment, it’s also about protecting the quality of life, overall wellness, and the future beyond cancer for each patient. While a diagnosis brings many immediate concerns, it can also raise important questions about long-term aspects such as family planning. 

For many cancer patients, fertility is an important part of that future beyond cancer. Some treatments such as chemotherapy, radiation, and certain surgical procedures can significantly affect an individual’s reproductive health. This is why it’s important for conversations to begin early and continue throughout cancer treatment. 

Before Treatment 

Before starting cancer treatment, patients are encouraged to ask their care team how treatment may affect their fertility and future family building goals. In many cases, an early referral to a fertility doctor can help explore preservation options and discuss important timelines. For example, patients may have the option to freeze their eggs, embryos, or even ovarian tissue before starting treatment. During a new diagnosis, these conversations can feel overwhelming but having them early on may provide more choices and peace of mind. 

During Treatment 

Discussions around fertility don’t stop once treatment begins. During treatment, it’s important to maintain clear communication with your care team about overall reproductive health and any new questions or concerns that may arise. One common topic of conversation brought up during treatment is the use of contraception to prevent pregnancy during treatment.  

Your care team is there to support your whole health and wellbeing. This includes helping you navigate through uncertainties and any emotional stress related to fertility during treatment.  

After Treatment  

Life after cancer treatment often brings new questions and opportunities. After treatment, patients may wish to revisit fertility and family planning conversations, even if those discussions were not a priority earlier. Many cancer survivors have options and support available when they are ready to explore the next steps, whether that includes fertility testing, family building planning, or learning what possibilities are available moving forward. 

Supporting Survivorship  

Family planning discussions are an important part of survivorship care and overall quality of life. There is no “right” timeline and no one-size-fits-all approach. At CHR, we want patients to have access to information, personalized care, and support at every stage. 

On this World Cancer Day, we encourage open conversations about fertility and reproductive health. Because caring for your future is an essential part of caring for you, and your future matters to us.