Exploring the emotional impact of cancer and fertility
So you’ve just been told you’ve got cancer. And then you’re told your ability to have kids in the future might be impacted too. Because cancer’s the gift that keeps on giving.
Being told your fertility might impacted because of cancer treatment is a lot to take on board. Your age, the type of cancer you have, the stage and site of your cancer, as well as the treatment you have all affect how your fertility might be impacted. But you have options.
So you’ve just been told you’ve got cancer. And then you’re told your ability to have kids in the future might be impacted too. Because cancer’s the gift that keeps on giving.
First things first - the effect cancer treatment can have on your fertility varies widely depending on a lot of factors. These are your age, the type, stage and site of your cancer and the decisions you make during treatment.
It's often difficult to know how your fertility has been affected immediately after treatment. Research is constantly happening in this field and new techniques are being developed all the time.
How does cancer impact your fertility?
This is tricky to answer in a straightforward way. Many factors are at play, including your treatment, which parts of your body are affected by the cancer, your age and if you need ongoing treatment.
If you have ovaries, these can be impacted by certain types of chemo, radiotherapy and surgery and hormone treatment can damage your eggs, leading to early menopause. If you need to have treatment to your womb, this can also impact your fertility. Certain types of chemotherapy and radiotherapy can reduce or stop sperm production. Changes to your vagina and your ability to have an erection can also be impacted by treatment. All of this can be temporary, or in some cases it can be permanent.
What are my options?
In most cases, there are options to help you preserve your fertility, known as fertility preservation. You should be offered the opportunity to freeze your eggs or sperm if it's likely that your fertility will be impacted by your treatment and there’s time to have this treatment before you have surgery, chemotherapy, radiotherapy or any other treatment.
I can't decide what to have for lunch, let alone what to do about my fertility...
Preach. It's a lot, especially if it's something you've never thought about before. You might not even feel ready to make this decision, especially in amongst everything else going on around your cancer diagnosis. There's a lot to consider, and this often must happen quickly before treatment starts. Prioritise talking to people you love and trust about your feelings and make sure you do what feels right for you.
I've already started or finished treatment. Is it too late?
Every situation is different and whether you're able to have children will depend on loads of different factors. If your fertility was never discussed, chat to your consultant, your GP or someone on your cancer care team to chat through any questions or concerns. You can have fertility tests after your treatment is finished so you know what you're dealing with. There are lots of brilliant organisations out there who support people with fertility issues, so know they've got your back. Check out the links below.
I'm dealing with gender dysphoria or talking about fertility is triggering for me - what do I do?
If you're part of the Queer community, talking about fertility can feel even more overwhelming. Our friends at Live Through This explain "The side effects of cancer treatments are often the same whatever your sexual orientation or gender identity. But as an LGBTQ+ person, you may have some specific questions about how these will affect your sex life or your fertility options. And some side effects may be more of a problem depending on the type of sex you have." You can read more of their info on Cancer Sex and Fertility here.
Sex and cancer. That feels like a whole other topic, right?
RIGHT. It's hard to talk about fertility and cancer without talking about sex and cancer. Your sex drive, your confidence, your body image and all sorts of other things can be hugely impacted by a cancer diagnosis, its treatments and the after effects. Check out our Lifting the Lid on Sex and Cancer for more info.
"I would have loved more advice on fertility and options surrounding that. I felt really rushed into making a fairly uneducated decision."
I'd love some more info...
Check out our fertility topics for more information:
Trekstock Talks - Fertility in men
Trekstock Talks - Thinking about fertility
Trekstock Talks - Cancer, sex and fertility
Trekstock Talks - Fertility myth busting