Talking about fertility

Your doctor should discuss any risk to your fertility before you start cancer treatment.

If you are concerned about your fertility, you may need to raise the topic with your treatment team – see Talking about fertility.

Some people feel too overwhelmed with the amount of cancer information they are given to bring up fertility concerns. You may prefer to wait and see if the topic is raised at a consultation. However, even if you aren’t sure what you want, it’s important that your doctor knows fertility is a priority for you. This gives your specialists the opportunity to work towards keeping your fertility options open for the future.

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Talking about fertility

It’s best to talk about ways to preserve or protect your fertility before cancer treatment begins.

Fertility is something your treatment team should discuss with you, but you can also bring up the topic yourself.

Some people feel too overwhelmed by the amount of cancer information they are given at diagnosis to think about fertility. Or you may need to make fertility decisions before you’ve given much thought to whether you want to have a child in the future.

Even if you think, “But I don’t want kids anyway” or “My family is complete”, a fertility specialist or counsellor will probably encourage you to consider as many fertility options as possible to keep your choices open for the future. These decisions are personal, and no decision is right or wrong. 

If you aren’t offered the opportunity to see a fertility specialist before treatment, ask your GP or cancer specialist for a referral.

     — Mackenzie


Making decisions

After a cancer diagnosis, you will probably need to make several decisions about your fertility. This can be a confusing and complex process, particularly if you have several options to consider. You may feel that everything is happening too fast.

Understand the available options

Generally, people make decisions they are comfortable with – and have fewer regrets later – if they gather information and think about the possible consequences. Consider the pros and cons of each option to help you make a well-informed decision.

Expect to experience doubts

It’s common to feel unsure when making tough decisions. Keeping a journal or blog about your experience may help you come to a decision and reflect on your feelings.

Get advice

Ask your health professionals to explain your treatment options, and the benefits and side effects of each.

Talk it over

Discuss the options with those close to you, like your partner or a close friend. As most decisions will affect others in your life, it’s also important to consider their opinions.

Use a decision aid

A decision aid can help you make choices about different treatment options by focusing on what matters most to you. Breast Cancer Network Australia has developed a resource called Fertility-related choices to help younger women with breast cancer make fertility-related decisions.


Which health professionals will I see?

There are several people you may see to discuss fertility, including:

  • fertility specialist – doctor who has experience managing fertility issues
  • reproductive endocrinologist – doctor who has completed additional training in the diagnosis and treatment of infertility
  • paediatric gynaecologist, endocrinologist, surgeons – specialise in hormones and fertility care of children with cancer
  • fertility counsellor – counsellor who provides advice for people who are experiencing fertility issues
  • genetic counsellor – counsellor who provides advice for people with a strong family history of cancer or with a genetic condition linked to cancer.

When making an appointment, let the clinic or specialist know that you are having treatment for cancer so that they give you an appointment as soon as possible. During the appointment, the specialist will outline the options available to you. Your cancer specialist will make suggestions, and together you can decide what works with your cancer treatment plan.

If you have a partner, try to attend appointments together and include them in the decision-making process. You may also wish to bring a family member or friend for support.

Some people find talking to a fertility specialist stressful. It may help to plan some questions in advance and to take notes during the discussion.


The main costs of fertility treatment

Fertility treatments can be expensive, and this may be a factor in your decision-making. Costs vary across Australia and between clinics. Ask your fertility specialist about Medicare rebates and talk to your health insurance provider if you have private health cover.

Initial fertility specialist consultation and pre-treatment tests

You need a referral from your GP, cancer specialist or a specialist obstetrician/gynaecologist to be eligible for Medicare rebates. A referral should list both you and your partner to enable you to claim the maximum benefit. Ask the fertility specialist if they have special fees for people diagnosed with cancer, as sometimes this is the case.

The procedure (e.g. IVF cycle/day surgery)

The fees will depend on the procedure and whether you are a public or private patient. As a private patient, there may be Medicare rebates for some procedures, including blood tests, fertility specialist consultations and medicines. Although there is no Medicare rebate for private day surgery procedures, some rebates exist for anaesthetist services. If procedures occur in a public hospital fertility unit, there will be no fees for procedures, day surgery or anaesthetist services. You may, however, experience long delays waiting for treatment.

Egg, sperm and embryo storage/cryopreservation

These may be called advanced science costs. Storage costs vary for reproductive tissue. Ask your fertility specialist about up-front payments, instalment payments and annual fees.


Click on the icon below to download a PDF booklet on Fertility and Cancer.


Printed copies are available for free - Call 13 11 20 to order

Instructions for downloading and reading EPUB files

Apple devices

The iBooks application must be installed on your Apple device before you can read the EPUB.
Different ways to download an EPUB file to your Apple device:

  • email EPUB files to yourself and transfer the attachment to iBooks.
  • copy EPUB files into DropBox (or a similar service) and use the DropBox app to send them to iBooks.
  • open EPUB files directly from Mobile Safari and open them in iBooks, where they are saved automatically by downloading the EPUB from the website.

Need more help? Visit: http://support.apple.com/kb/HT4059

Kobo

To download an EPUB file to your Kobo from a Windows computer:

  • download and save the EPUB directly onto your desktop.
  • connect your Kobo to your computer using the USB cable and tap “Connect” on your eReader.
  • select “Open folder to view files” to view the contents of your Kobo.
  • navigate to where you have stored your EPUB file in “Finder”, in documents or downloads, and drag and drop it into the Kobo window. You can now disconnect your Kobo to read the eBook.

To download an EPUB to your Kobo from a Mac:

  • download and save the EPUB directly onto your desktop.
  • connect your Kobo to your computer using the USB cable and tap “Connect” on your eReader.
  • open your “Finder” application.
  • select “Kobo eReader” from the listed devices to view the contents of your Kobo.
  • navigate to where you have stored your EPUB file in “Finder”, probably in documents or downloads, and drag and drop it into the Kobo window. You can now disconnect your Kobo to read the eBook.

Turn on your Kobo and your EPUB will be located in “eBooks”, while a PDF will be located in “Documents”.
Need more information? Visit: http://www.kobo.com/help/koboaura/response/?id=3784&type=3

Sony Reader

To download an EPUB file on your Sony Reader™:

  • ensure you have already installed the Reader™ Library for PC/Mac software
  • select the eBook you want from our website and click the link to download it.
  • connect the Reader™ to your computer.
  • open the Reader™ Library software and click “Library” in the left-hand pane and select the eBook to view it.

Need more help? Visit: https://au.readerstore.sony.com/apps_and_devices/

Amazon Kindle 2nd Generation devices

EPUB files can’t be read on the Amazon Kindle™. However, like most eReaders, Kindle™ 2nd Generation devices are able to display PDFs. We recommend that you download the PDF version of this booklet if you would like to read it on a Kindle™.
To transfer a PDF to your Kindle™ via USB cable from your computer or Mac:

  • download the PDF directly onto your computer.
  • connect the USB cable to your computer’s USB port, and the micro USB end of the cable to your Kindle™. Note: the Kindle™ won’t be available as a reading device while it is connected to your computer until it has been disconnected.
  • open the Kindle™ drive and several folders will appear inside. The “Documents” folder is where you will need to copy or drag the PDF to.
  • safely eject your Kindle™ from your computer and unplug the USB cable. Your content will appear on the Home Screen.

Kindle also provides a Kindle Personal Documents Service that allows users to send documents as an attachment directly to your eReader. For more information on this service, visit http://www.amazon.com/gp/help/customer/display.html/ref=help_search_1-1?ie=UTF8&nodeId=200767340&qid=1395967989&sr=1-1
For more information on accessing a PDF on your Kindle™, visit www.amazon.com/manageyourkindle, log in to your account and click on Personal Document Settings.
Need more help? Visit https://www.amazon.com/gp/help/customer/display.html?nodeId=200375630

Android and PC

You can also download and open eBooks on Android devices and PCs with appropriate apps or software installed. Suitable eReader apps for Android include Google Play Books, FBReader and Moon+ Reader. Suitable software for PCs include Calibre and Adobe Digital Editions.


This information was last reviewed in May 2018
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