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Counseling

Counseling

Learn more about how oncology social workers can help you cope with a cancer diagnosis.

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Learn more about how CancerCare Resource Navigation can help you address barriers to care.

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Connect Education Workshops

Listen in by telephone or online as leading experts in oncology provide up-to-date information about cancer-related issues in one-hour workshops. Podcasts are also available.

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Fertility
Financial assistance

Financial Assistance

Limited assistance from CancerCare is available to help with cancer-related costs.

Ask CancerCare

Ask CancerCare

Every month, featured experts answer your questions about coping with cancer including specific answers to questions asked by caregivers.

For Any Cancer Diagnosis
  • Q.

    I finished treatment and would like information on fertility issues and cancer survivors. Can you help me?

    A.

    Unfortunately, one potential effect of cancer and cancer treatment is the loss of fertility in both men and women. Depending on cancer type and treatment methods, your age, and other factors, your fertility may be compromised on a temporary or permanent basis. To determine this likelihood and possible solutions, it is important that you talk to your oncologist and a fertility specialist. The American Cancer Society has comprehensive information on the main causes and options for cancer-related infertility for women and for men. For women, causes include:

    • damage to your eggs caused by certain kinds of chemotherapy
    • damage to your ovaries caused by radiation
    • removal of the uterus (hysterectomy) or ovaries (oophorectomy)
    • hormonal treatments

    If you have a uterus and ovaries, you may still be able to get pregnant. Some medical professionals recommend waiting 6 months before trying, to avoid fertilization of damaged eggs. A doctor specializing in high-risk obstetrics can check that your ovaries are still functioning and that your heart and lungs are strong enough to withstand pregnancy. If you were not able to freeze embryos (cryopreservation) before beginning cancer treatment but you still have your uterus, you may consider:

    • getting implanted with donor eggs through IVF (in-vitro fertilization)
    • getting implanted with a donor embryo through IVF
    • adoption

    For men, infertility may be caused by:

    • damage to your sperm cells caused by chemotherapy
    • damage to sperm cells caused by radiation
    • surgery to remove your testicles or prostate
    • hormonal therapies

    Some men recover their ability to produce sperm after cancer treatment (maybe a year or later). If you did not freeze your sperm before treatment but you can still produce sperm, you may consider:

    • getting your semen analyzed to determine the level of DNA damage to your sperm
    • adoption

    LIVESTRONG provides information on fertility options at all stages of cancer treatment to help you make an informed decision based on your individual needs. You can also find information to help deal with the financial, practical and legal aspects of infertility.

    Dealing with fertitlity issues can be stressful, and CancerCare offers counseling and support groups to help better manage these concerns.

    Photo of Maria Chi Answered by
    Maria Chi, DSW, MSW, LCSW-R

    ∞ Direct link to this question

    Tags:
    post-treatment survivorshipfertility
  • Q.

    When I was diagnosed, my cancer was aggressive and treatment needed to start as soon as possible. So when asked about fertility, I didn't get a chance to review all my options or come up with the money to get it done. I had a partial hysterectomy (my ovaries were removed but my uterus is still there). I was wondering what would be my options for children in the future?

    A.

    When you are diagnosed with cancer you are faced with many immediate decisions to make, it is extremely overwhelming. It is challenging to process the news of your diagnosis, especially when you have been notified that treatment needs to begin right away. Unfortunately, fertility is not always an immediate conversation or something an individual may automatically think about when beginning cancer treatment. It may not feel or seem like a priority in that moment. Fortunately, the topic of fertility is gaining increasing awareness for both men and women. More and more doctors are having these conversations prior to cancer treatment. And, there are many wonderful organizations that support fertility options—physically, emotionally, and even financially.

    In general, fertility preservation is the process of saving or protecting eggs, sperm, or reproductive tissue so that a person can use them to have biological children in the future. It may be time sensitive and could also be necessary to explore prior to cancer treatment. However, everyone’s situation is different and there are many factors to be considered. Therefore, it is important to speak to your medical team to further discuss what your options may be. You may also want to make an appointment with a fertility specialist to gain additional information throughout this process. As medical advancements continue, doctors and patients may become aware of more options. Today, there are many ways to have children and it is important to determine what may be the best fit for you.

    The following resources may also be helpful to explore:

    Fertility issues can be stressful and complex. If you would like to further discuss this topic and how to address it before, during, and after treatment you may be interested in calling CancerCare’s Hopeline to speak to an oncology social worker.

    Photo of Lauren Chatalian Answered by
    Lauren Chatalian, MSW, LCSW

    ∞ Direct link to this question

    Tags:
    fertility
  • Q.

    Is there any financial help available to pay for fertility treatment costs?

    A.

    When discussing fertility, preservation costs can play a huge role in determining how to move forward. It may be essential to explore your fertility options—physically and financially—when diagnosed with cancer. It is important to speak to your doctor or specialist in regards to your concerns; they may be able to offer further guidance that best suits your needs. There may also be organizations that offer financial assistance to help pay for these fertility costs.

    The following organizations may offer financial assistance to help alleviate these expenses:

    You may also view all of CancerCare’s fertility resources.

    Photo of Lauren Chatalian Answered by
    Lauren Chatalian, MSW, LCSW

    ∞ Direct link to this question

    Tags:
    fertility
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