Preservation of Fertility
Chemotherapy, radiation and surgery greatly increase infertility risk, but it is difficult to predict which patients will be infertile following treatment. The American Society of Clinical Oncology (ASCO) recommends that physicians discuss the possibility of infertility and fertility preservation options with patients treated during their reproductive years. ASCO also highlights the importance of a referral to a reproductive specialist. Robert Brannigan, MD and Joshua Halpern, MD, provide fertility preservation for men of all ages.
Prior to surgery or radiation therapy, patients are counseled on the likelihood of infertility based on the type and severity of cancer and planned treatment. The most common procedure for fertility preservation is a process known as sperm cryopreservation (banking), in which ejaculated sperm is stored before surgery or treatment.
For prostate cancer patients who have already undergone radical prostatectomy but wish to have children, Drs. Brannigan and Halpern can perform a simple procedure in which sperm is harvested from the testis or epididymitis. The harvested or cryopreserved sperm is then used during in vitro fertilization with intracytoplasmic sperm injection.