Spermbanking is fast and relatively inexpensive. But misconceptions that it could delay treatment or that it comes with an exorbitant price tag seem to keep HCPs from referring patients, according to a new review. OncTwitter MedTwitter
The authors call for a more comprehensive effort in cancer care to preserve male fertility, saying misconceptions about sperm banking are a major limiting factor.
But"semen freezing doesn't have any of these barriers," said Kyle Orwig, PhD, director of the Fertility Preservation Program and the Center for Reproductive Transplantation at the University of Pittsburgh Medical Center."The time is short, the cost is lower, but that's the group we fail to serve so much."
But other experts say that more often, they see patients after treatment is underway."It frequently happens that [a patient] comes in and says he started chemo yesterday but wants to save a semen sample," Orwig said. In addition, some newer cancer treatments, such as tyrosine kinase inhibitors, may be administered over years. While experts don't know what that means for sperm, it's critical that patients are counseled on the risks and that they feel they can bank sperm if they want to, McKenzie said.
Fertility preservation for cancer patients is critical, but admittedly it is not always easy, all the experts agree. Navigating the appointments and costs of fertility preservation for cancer patients is time intensive. In terms of coordinating fertility and cancer care, it's also"very difficult to ask someone with a full-time job, like a surgeon or the cancer care team, to take that on," Orwig said.
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