Navigating Fertility Preservation Before Cancer Treatment

Receiving a cancer diagnosis is overwhelming, but for patients of reproductive age diagnosed with breast cancer, ovarian cancer or any type of cancer, an added layer of distress can begin: Will I still be able to have children after treatment?

At Hunter Valley Oncology, we understand that fertility preservation is a deeply personal and time-sensitive issue. While your primary focus may be on survival and recovery, protecting your ability to have a family in the future matters, too. This article outlines the key fertility preservation options available, the importance of early planning and how we support patients across Newcastle and the Hunter Valley through this crucial part of their journey.

Why Fertility Preservation Matters

Cancer treatments such as chemotherapy, radiation and even surgery can impact fertility in both men and women. The extent of the effect depends on the type of cancer, the treatment used and your age.

• Women may experience damage to the ovaries, reduced egg count, or early menopause, especially in treatments for breast cancer or ovarian cancer.
• Men undergoing treatment for prostate cancer, testicular cancer or colon cancer may experience reduced sperm count or impaired sperm production.

Preserving fertility before treatment starts may offer a better chance of having biological children later, depending on the individual. That’s why early conversations, ideally before treatment begins, are so critical.

Fertility Preservation Options

The good news is that medical advances have made fertility preservation increasingly available. Here are the most common options available:

For Women

• Egg Freezing (Oocyte Cryopreservation): Mature eggs are collected and frozen for future use. This process generally takes 10-14 days and cycles can be introduced so you don’t have to wait for the right part of it anymore
• Embryo Freezing: Eggs are fertilised with sperm (partner or donor) and then frozen as embryos. This is a well-established method that has had favourable outcomes for many patients.
• Ovarian Suppression: Medications such as GnRH agonists may help protect the ovaries during chemotherapy by temporarily shutting them down.

For Men

• Sperm Freezing: A commonly used method. Multiple samples may be collected over a few days and frozen for future use.

Each option has its own benefits, risks and success rates depending on the case and individual. Your oncologist and fertility specialist can guide you through the most suitable choice based on your cancer type, timeline and personal goals.

Timing and Urgency

One of the biggest challenges in fertility preservation is timing. Cancer treatment often needs to begin quickly, but most fertility preservation procedures take 1-2 weeks to complete.

At Hunter Valley Oncology, we prioritise early referral to local fertility clinics in Newcastle and the Hunter Valley. We work closely with fertility specialists to coordinate consultations and procedures to minimise unnecessary delays to your cancer treatment where possible.

Our goal is to integrate fertility preservation seamlessly into your treatment timeline. In many cases, fertility procedures can be completed within about two weeks, aiming to minimise any impact on treatment.

In most cases, it is considered safe to undergo fertility treatments before cancer therapy, with hormone stimulation considered in patients with hormone-sensitive cancers like breast cancer. Under these circumstances, specific protocols can be used to minimise hormone exposure.

Falling pregnant naturally after treatment depends on your age, treatment type and overall health. Some patients retain fertility post-treatment, while others may not. Preserving eggs, embryos, or sperm just gives you more options later, if you need it.

Emotional Support During Fertility Discussions

Fertility is a sensitive and an emotional topic. It can bring a renewed sense of hope for some and be a painful reminder of uncertainty for others. At Hunter Valley Oncology, we recognise the emotional weight of these conversations.

We are here to help support, inform and guide you where we can with your oncology team, fertility specialists and loved ones. You’re not alone in navigating this difficult period. Our team will walk alongside you with empathy and care.

Local Resources and Referral Pathways

As part of our location-based care, we collaborate with reputable fertility clinics throughout Newcastle and the Hunter Valley. This helps in making sure that:

• Referrals are made quickly
• Communication between your oncologist and fertility specialist is seamless
• You don’t have to travel far for expert care

We also provide follow-up support and referrals to gynaecologists, urologists and allied health professionals as needed.

Cost: What’s Covered and What’s Not?

One of the biggest concerns for patients considering fertility preservation is cost. Here’s some information you might want to explore further so you can plan ahead.

• Medicare may cover parts of the initial consultation and hormone medications.
• Private Health Insurance: Some private health insurance policies may contribute to fertility preservation costs, particularly when procedures are considered medically necessary due to cancer. Coverage varies by policy.
• Out-of-Pocket Costs: Egg or sperm freezing can be costly, and storage fees are ongoing. However, financial support may be available.

Moving Forward with Hope and Confidence

Being diagnosed with breast cancer, ovarian cancer or other cancers at a younger age brings its challenges, but also presents you with the opportunity to proactive plan your future.

If having children in the future matters to you, fertility preservation is a conversation worth having as early on in this journey as possible.  

At Hunter Valley Oncology, we’re here to support your whole self, not just treat your disease. From diagnosis to survivorship, you’ll be supported by a multidisciplinary team throughout your care.

If you or a loved one is starting cancer treatment and wants to discuss fertility options, get in touch contact Hunter Valley Oncology today.

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*This article is for general information and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment, and does not establish a doctor-patient relationship. All medical procedures carry risks, and outcomes vary between individuals. Always seek the advice of your GP, specialist, or another appropriately qualified health professional with any questions you may have regarding a medical condition or treatment. Where further or specialised care is required, your treating practitioner can provide a referral.