Fertility Preservation

Texas IVF


Oncofertility has been an evolving part of our practice of over the past several years. Oncologists are recognizing that for patients with a good prognosis for cancer survival after chemotherapy and/or radiation, and surgery, there is technology and methods to preserve both female and male gametes (oocytes and sperm) as well as ovarian tissue. As cancer survivorship increases, this is an area of reproductive medicine that is becoming increasingly important for women, men, and even adolescents.

For women, we no longer need to wait for a menstrual cycle to commence ovarian stimulation as we can begin treatment at almost any time of the cycle. This reduces delay in the initiation of cancer treatments providing hope and alleviating fears and concerns of losing the ability to have a family in the future. Depending on the age of the patient, marital status, and the type of cancer, we can freeze and bank either unfertilized oocytes or embryos. In certain cases of pelvic radiation, ovarian tissue can be transpositioned surgically or protected medically by giving LHRH injectable agonists, such as Depot Lupron, which temporarily shuts down the ovarian function to a medically induced menopausal state. In cases where delay of treatment is not in the patient’s best interest, oocyte donation by either a known or anonymous donor, may be considered once the patient is cancer free and released to pursue pregnancy by their oncologist.

For men, sperm sample(s) can be produced and banked (cryopreserved) prior to starting treatment. In some instances, sperm may need to be harvested by epididymal aspiration or testicular biopsy. In the event that treatment is initiated before sperm is obtained, use of donor sperm (anonymous or known) is an option when ready to start a family with their partner.

For adolescents, the process and options aren’t quite as readily available. There are ethical and legal, and financial implications that accompany this particular situation-all of which must be considered. The family should be counseled at length by all physicians involved, along with mental health professionals and legal representatives.

Contact Info

6130 West Parker Road
Suite 215
Plano, TX 75093-8185

Telephone: 972-981-7800
Fax: 972-981-7814

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