Testicular germ cell cancer is one of the most curable cancers. Most patients are treated during their reproductive years, making infertility a significant quality of life issue after successful treatment. This focused review evaluates the factors that contribute to infertility and specific fertility risks with the various testicular cancer treatments. Timing of patient discussions and current fertility treatments are reviewed.
A full discussion of the gonadotoxic effects of cancer treatment and the possibility of sperm or testicular tissue cryopreservation, even in adolescent and prepubertal patients, should become standard of care.
A full discussion of the gonadotoxic effects of cancer treatment and the possibility of sperm or testicular tissue cryopreservation, even in adolescent and prepubertal patients, should become standard of care.
References
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