Sperm banking should be a routine part of treatment for teenage cancer patients

Teenage boys being treated for cancer should be encouraged to bank their sperm so they might enjoy a family life in the future, say researchers at the University of Manchester.

Dr Guy Makin, at the School of Medicine's Division of Human Development and Reproductive Health, suggests giving better quality information on sperm banking to patients as young as 13, as well as training medical professionals to discuss the issue with them.

Several types of chemotherapy can damage the sperm-producing portion of the testes, while radiation of the testicular area can also lead to infertility, For this reason, infertility is very common among male survivors of childhood cancer.

Patients as young as 13 are capable of producing semen samples with normal sperm counts and these can be frozen for future use.

A 2002 study found 77 percent of childless male cancer patients aged 14 to 40 said they would like to father children in the future, they note. But the same investigation found just half of these patients had been given the option of banking sperm, and less than a quarter had done so successfully.

To investigate what obstacles exist to sperm banking among these patients, Dr Makin and his team surveyed 55 males aged 13 to 21 at their cancer diagnosis who had undergone potentially infertility-producing treatment and had been offered the option of banking their sperm at the Teenage Cancer Trust Young Oncology Unit at the Christie Hospital in Manchester.

Of the forty-five who completed the questionnaire, 67 percent had banked their sperm successfully. Three of the 15 who did not bank their sperm were too sick to do so, while one patient had not reached puberty.

The remaining men who were unable to obtain a sperm sample were younger than the men who succeeded in doing so - 15.3 years compared to 17.8 years. They also showed higher levels of anxiety, more difficulty in discussing fertility, and tended to be less knowledgeable about sperm banking.

Dr Makin, who reported the findings in the journal, Archives of Disease in Childhood, said: "These young men are coping with a life threatening illness and their future fertility is often not a priority for them. Our study showed that most teenage and young adult cancer sufferers were able to store semen when this was offered to them. Sperm banking should be seen as a routine part of treatment for these patients."

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