FERTILITY PRESERVATION OPTIONS IN MEN:

STANDARD OPTIONS INCLUDE:

Sperm Banking (Masturbation) - Sperm is obtained through masturbation, then frozen at a sperm bank. Read More

Who is Eligible?

Sperm banking is available for post-pubertal males. The patient has to be able to collect a specimen through masturbation. If he cannot, there are alternative, medical methods of collecting sperm.

Future Use and Success Rates

When ready to attempt pregnancy, the frozen semen specimens are thawed and a sperm analysis is done. The thawed specimen(s) is used with assisted reproductive technology procedures such as intrauterine insemination (IUI) or in vitro fertilization (IVF). Success rates vary based on age and fertility status of the female partner and on the quality of the pre-treatment specimen.

Sperm Banking (Alternative Collection Methods)-Sperm obtained through testicular extraction or electroejaculation under sedation in individuals who can not ejaculate on their own Read More

Who is Eligible?

This technique can be used for post-pubertal males. It may be considered by those patients who would like to bank sperm but cannot produce a specimen through masturbation (because of illness, pain, anxiety, embarrassment, or religious or cultural prohibitions).

What are the Potential Risks/Concerns?

These techniques involve the standard risks associated with anesthesia. To minimize risk, consider scheduling with other procedure(s) that the patient has to undergo requiring anesthesia. There are also the risks associated with an invasive procedure; to minimize risk, patient may need prophylactic antibiotics.

Future Use and Success Rates

When ready to attempt pregnancy, the frozen semen specimens are thawed and used with in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI). Success rates vary based on age and fertility status of the female partner and on the quality of the pre-treatment specimen.

Radiation Shielding of Gonads - Use of shielding to reduce the dose of radiation delivered to the testes. Read More

Who is Eligible?

This procedure can be used for patients receiving pelvic or inguinal field radiation.

What are the Potential Risks/Concerns?

Because patients may still receive some scatter radiation, they should also be offered sperm banking before treatment.

Future Use and Success Rates

Shielding reduces radiation dose to the testes by 3x-10x. The farther the shielded testicle from the edge of the target area of radiation, the greater the reduction.

Testicular Sperm Extraction - Use of biopsy to obtain individual sperm from testicular tissue. Read More

Who is Eligible?

This technique can be used for post-pubertal males. It may be considered for patients who have no sperm found in the ejaculate (azoospermic).

What are the Potential Risks/Concerns?

These techniques involve the standard risks associated with anesthesia. To minimize risk, consider scheduling with other procedure(s) that the patient has to undergo requiring anesthesia. There are also the risks associated with an invasive procedure; to minimize risk, the patient may need prophylactic antibiotics.

Future Use and Success Rates

When ready to attempt pregnancy, the frozen specimens are thawed and used with in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI). Success rates vary based on age and fertility status of the female partner, and on the quality of the pre-treatment specimen.

Nerve-Sparing Surgeries Some cancer surgeries involve the removal of lymph nodes in the abdomen (retroperitoneal lymph node dissection [RPLND]), and these surgeries can damage the nerves involved in ejaculation. While this does not cause a man to be infertile, it does mean that, when ready to attempt pregnancy, sperm has to be retrieved in other ways. Nerve-sparing RPLND techniques should be discussed with appropriate patients, especially those interested in future fertility. Patients should also be offered sperm banking before treatment.

Testicular Tissue Freezing Tissue obtained through biopsy and stored for future use