Fertility Preservation & Cancer:  Options, Support & Three Free Programs

Fertility and Cancer
This page was originally published October 23, 2023 and updated April 24, 2024.

As you face the challenges of a cancer diagnosis, your mind may be filled with a whirlwind of concerns. One of these could be about your future fertility and the possibility of starting or growing a family after treatment. This article is here to provide you with information and guidance on fertility preservation.

Cancer, as we all know, is a formidable adversary that presents a myriad of challenges. When confronted with such a diagnosis, the range of concerns that may swirl through your mind can be overwhelming. Among these numerous apprehensions, studies like this one from the National Cancer Institute demonstrate that concerns about future fertility often emerge as a significant factor, especially for those who envision starting or expanding their family post-treatment.

The prospect of navigating the complex landscape of fertility preservation while dealing with the emotional and physical strains of cancer treatment may seem daunting. Yet, it is important to remember that you are not alone in this journey. The purpose of this article is to arm you with valuable information and guidance on fertility preservation options and strategies. ❤️

Understanding the Impact of Cancer Treatment on Fertility

Cancer treatments, while life-saving, can sometimes affect your fertility. Chemotherapy, radiation, and certain surgical procedures might harm your reproductive organs and affect your ability to conceive in the future. Before you embark on your treatment journey, you might want to consider options to preserve your fertility.

Each type of cancer treatment carries a different level of risk when it comes to fertility. Chemotherapy, for instance, uses potent drugs that can damage ovaries or testes, consequently lowering the number of viable eggs or sperm. Radiation therapy, on the other hand, can directly impair the reproductive organs depending on the area targeted for treatment. For instance, if the pelvic area is exposed to radiation, it could lead to damage to the uterus, ovaries, or testes, impacting fertility. Surgical procedures, especially those involving reproductive organs, could potentially result in the removal or damage of these organs, thereby affecting fertility.

It’s important to note that the impact on fertility can be temporary or permanent, depending on the individual’s age, type and dosage of treatment, and their fertility status prior to treatment. Hence, if preserving fertility is a concern, it’s crucial to have a discussion with your oncologist and a fertility specialist before beginning treatment. They can provide insights into your individual risk and guide you through the various fertility preservation options available.

Fertility Preservation Options

There are several fertility preservation options available to you, regardless of your gender. The National Institutes of Health has additional guidance on each of these described below:

Egg or Sperm Freezing

This process involves collecting and freezing your eggs or sperm for future use. While the success rates vary, this method offers a viable path to parenthood post-treatment. However, it’s important to be aware of potential challenges, such as the need for hormone injections (for egg retrieval) or the difficulty of collecting sperm samples.

Also known as oocyte cryopreservation, egg freezing involves stimulation of the ovaries with hormones to produce multiple eggs, retrieval of eggs from the ovaries, and freezing them in a lab. This method allows women to protect their future fertility before undergoing treatments that may harm their eggs. The frozen eggs can be thawed, fertilized with sperm in a lab (IVF), and transferred to the uterus when the woman is ready to pursue pregnancy.

Sperm freezing, or sperm cryopreservation, is a simple and most commonly used method for preserving male fertility. It involves collecting semen, typically by masturbation, and then rapidly freezing the sperm in a special solution at a very low temperature to preserve it for future use. The frozen sperm can be used later for fertility treatments, including in vitro fertilization (IVF) and intrauterine insemination (IUI).

It’s important to understand that while egg and sperm freezing can provide a chance at future parenthood, success is not guaranteed and can depend on a variety of factors, including the age at which the eggs were frozen, the freezing method used, and the overall health and fertility of the individual at the time of freezing. It’s also worth noting that these procedures are often not covered by insurance and can be costly.

Embryo Freezing

In this procedure, your eggs are fertilized with sperm (from a partner or donor) before being frozen. Similar to egg or sperm freezing, the success rates can vary and the process can be emotionally and physically challenging. Embryo freezing, formally known as embryo cryopreservation, is a proven and effective method of preserving fertility for both men and women. This process begins similarly to egg freezing, with hormonal stimulation of the ovaries to produce multiple eggs. Once retrieved, these eggs are then fertilized in a laboratory with sperm (either from a partner or a donor) to create embryos. The resulting embryos are then frozen and stored for potential future use.

Other Options

There are also experimental methods or lesser-known options like ovarian tissue freezing that you might want to consider.

Ovarian Tissue Freezing

This is an experimental method currently being explored as an option for fertility preservation. In this procedure, a small piece of ovarian tissue (which contains thousands of immature eggs) is surgically removed, frozen, and stored. Post treatment, the tissue can be thawed and transplanted back into the body with the hope that it resumes natural function and produces eggs. This method could potentially offer a fertility preservation solution for pre-pubescent patients or those who cannot delay treatment for hormonal stimulation required in egg freezing. However, it’s important to note that this method is still considered experimental, and its efficacy and safety are still being studied.

Testicular Tissue Freezing

Similar to ovarian tissue freezing, testicular tissue freezing is an experimental method for males. This procedure involves surgically removing and freezing a small piece of testicular tissue that contains immature sperm cells. Theoretically, these cells could be matured or the tissue could be transplanted back into the patient in the future to restore fertility. This method could be considered for pre-pubescent boys or males who cannot produce a semen sample. As with ovarian tissue freezing, this method is still under research, and its success rates and long-term effects are not yet fully known.

Gonadal Shielding

Another option to preserve fertility during radiation therapy is the use of gonadal shielding. This involves placing a protective cover over the reproductive organs to minimize their exposure to radiation. While this method does not guarantee complete protection, it may reduce the damage to the reproductive tissues, thus potentially preserving some degree of fertility.

It’s crucial for patients to discuss these options with their healthcare team. They can provide the most accurate information based on the individual’s specific situation and the current state of medical research.

Making the Decision

Choosing the best fertility preservation option for your situation is a deeply personal decision. It’s crucial to consult with your healthcare providers and fertility specialists to understand the pros and cons of each method. Remember, while these methods offer hope, there are no guarantees with fertility preservation.

When making your decision, it’s important to consider both the physical and emotional implications. Fertility preservation methods often require invasive procedures that can be physically demanding and carry their own risks. Understanding these risks and the potential impact on your current and future health is crucial. Emotional factors such as stress, anxiety, and the pressure of making a decision can also weigh heavily. Seeking support from professionals such as psychologists or counselors can be beneficial during this time.

It’s also important to consider the financial aspect of these procedures. They can be expensive and are often not covered by insurance. It’s worthwhile exploring different funding options or financial assistance programs that may be available to help offset some of these costs.

Remember that the decision-making process is not something you have to face alone. Involving your partner, family, or close friends who understand your situation and respect your values can provide valuable support and perspective. They can help you weigh the pros and cons, discuss potential risks and benefits, and navigate through any challenges you may face along the way.

RESOLVE National Infertility Association Helpline

Recognizing the emotional toll and the navigational challenges that infertility can present, RESOLVE: The National Infertility Association provides a helpline to assist you. This dedicated resource offers support, guidance, and information to those grappling with infertility. Staffed by trained volunteers who have personal experience with infertility, the helpline offers callers a compassionate and understanding ear, along with valuable insights and advice. It can be a lifeline during a difficult journey, providing not just practical information about fertility preservation options, but also emotional support to help manage the stress and complexities associated with the process. The helpline can be a crucial tool in your arsenal, providing comfort, enhancing your understanding, and helping you make more informed decisions about your fertility preservation journey. Call 866.668.2566 for help today.

Making a decision about fertility preservation is not easy and requires careful thought and consideration. However, with the right information and support, you can make a choice that best aligns with your personal values, life goals, and health circumstances.

Paying for Fertility Preservation

The costs associated with fertility preservation can be significant. It’s important to understand your insurance coverage and explore financial assistance programs that might help offset costs. There are also non-profit organizations that provide resources and support for individuals in your situation.

Navigating the financial aspects of fertility preservation can be a daunting task. Costs vary significantly depending on the selected method of preservation. For instance, egg or sperm freezing may range from $1,000 to $10,000, not including storage fees, which typically cost several hundred dollars per year. Embryo freezing, on the other hand, may cost up to $15,000. Experimental methods like ovarian or testicular tissue freezing can be even more expensive due to their complex nature.

Unfortunately, many health insurance plans do not cover fertility preservation procedures, especially when they are not considered medically necessary. This often leaves patients shouldering the bulk of these costs. However, in some regions, legislation has been passed requiring insurance companies to cover fertility preservation for cancer patients, so it’s worth checking the regulations in your area.

There are also financial assistance programs and non-profit organizations available that aim to reduce the financial burden for patients by providing discounted fertility preservation services and medications to eligible patients.

Worth the Wait

The Worth the Wait Fertility Grant, provided by a charity organization with the same name, aims to assist individuals and couples facing challenges in building their family due to fertility issues. The grant is specifically designed to financially support those who cannot afford fertility treatments, making the journey towards parenthood a little smoother. Applicants to this program range from couples struggling with infertility to cancer survivors whose treatments have impacted their fertility.

This grant provides financial aid that can be used toward various fertility preservation treatments, including, but not limited to, IVF, IUI, egg and sperm donation, egg freezing, and embryo donation. The grant is awarded based on several factors, such as financial need, personal circumstances, and potential for successful treatment. It’s important to note that the application process may require submitting medical documentation of infertility, statement of need and other pertinent information.

The Worth the Wait Fertility Grant is a shining beacon of help and hope for individuals and couples who dream of becoming parents, ensuring financial constraints do not hinder their journey to parenthood. For further details and to apply, potential applicants can visit their website here.

Chick Mission Fertility Grant

The Chick Mission Fertility Grant is another remarkable initiative that seeks to help those dealing with fertility issues. This grant focuses specifically on helping cancer patients who are at risk of infertility due to the harsh effects of their treatments. The mission of this organization lies in ensuring that every cancer patient has the opportunity and means to preserve fertility prior to starting treatment.

This merit-based grant provides financial support for high-risk cancer patients who are planning to undergo fertility preservation procedures. The grant covers the cost of procedures such as egg and sperm freezing, as well as storage fees for a period of one year. The goal is to alleviate the financial burden of these procedures, making fertility preservation accessible to those who need it most.

The application process for The Chick Mission Fertility Grant involves providing medical documentation, a personal statement, and financial information to assess eligibility. The grant is open to cancer patients in the United States who have been recommended for fertility preservation by their doctors. More information about the application process, eligibility requirements, and the grant itself can be found on their website here.

By providing such a support, The Chick Mission is not just offering financial assistance, but also promoting awareness about the impact of cancer treatments on fertility. It stands as a beacon of hope for many cancer patients, promising a chance at parenthood despite their challenging circumstances.

ReUnite Oncofertility Program

The ReUnite Oncofertility Program is another noteworthy initiative that is dedicated to aiding cancer patients with their fertility needs. This program is a collaborative effort by Ferring Pharmaceuticals and Walgreens Specialty Pharmacy, aiming to provide patient support and financial assistance for fertility preservation procedures for cancer patients.

Under the ReUnite Oncofertility Program, eligible patients can receive up to 75% off on select fertility medications used during the course of fertility preservation. This significant discount can make a substantial difference to the overall cost, making the process of fertility preservation more affordable for those at risk of infertility due to cancer treatments.

The program is open to both women and men who have been diagnosed with cancer and who are planning to undergo fertility preservation procedures. Patients must be U.S. residents and should not have insurance coverage for fertility medications.

Applying to the program is fairly straightforward. Patients can fill out the online application form available at the program’s website. If approved, the patient will receive a ReUnite Assist card which can be used to purchase the discounted fertility medications at Walgreens Specialty Pharmacy. By easing the financial burden of fertility preservation, the program ensures that cancer patients can focus more on their recovery and less on financial concerns. For more information, potential applicants can check out their website here.

Other options exist and are worth mentioning here. Some fertility clinics offer payment plans or financing options to help spread out the cost over time. It’s worth discussing these options with your fertility specialist or clinic’s financial counselor. While the costs associated with fertility preservation can be a significant hurdle, the availability of financial support, assistance programs, and legislative advancements are helping to make these vital services more accessible to those in need.


When considering fertility preservation, informed decision-making and consultation with medical professionals are paramount. Take your time, gather all necessary information, and make the choice that feels right for you. Remember, you’re embarking on a journey that is unique to you, and there are many paths to parenthood. No matter what, remember that you are strong, capable, and deserving of the future you envision.

Cancer can put an unexpected pause on your life plans, but it doesn’t have to mean the end of your dreams of parenthood. Fertility preservation offers a glimmer of hope, giving you the choice to secure your future family even as you focus on your health and recovery. Various financial resources and assistance programs like the ReUnite Oncofertility Program are at your disposal, making fertility preservation more accessible. Remember, the journey might be challenging and packed with uncertainties, but you’re not alone. Medical teams, counselors, and support groups are ready to provide the help you need.

More Financial, Medical & Other Assistance

Life after cancer is not just about survival; it’s also about rediscovering the joy in life’s many potentials, such as parenthood. For additional support, we have a comprehensive national directory of free programs specifically tailored for cancer patients within the USA. These resources range from financial assistance for fertility preservation and cancer treatment to support groups and counseling services, aiming to alleviate the burden cancer imposes on patients and their families. The goal of these programs is to ensure that everyone, regardless of their financial situation, has access to essential services and support during this challenging time. This directory serves as a portal, connecting you with a network of resources that can prove instrumental in your journey. ❤️

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