Do you recommend sperm banking for males prior to undergoing radiation?

To the first question in the prompt, I would recommend sperm banking for any patient who was receiving a sufficiently high radiation dose to the testes and desired fertility preservation. In my practice, this are few patients, although it is an important consideration for younger patients. To the second question in the description, if a patient wanted to proceed with sperm banking, I would wait to initiate RT until they were able to do so, especially as it can often be facilitated much faster than fertility preservation in females. Doses as low as 0.15 Gy can result in oligospermia and doses greater than 0.5 Gy in azoospermia with the duration of azoospermia being dependent on the cumulative dose. If sperm banking is conducted in the middle...

I take care of AYA so I always recommend/offer it 100% of the time.

You do not know what the future holds - will there be emergency surgery or radiation that may alter or change the relevant structures? Are there new drugs that we don't have enough data on that the patient may get, for example in a clinical trial, or immunotherapy?

10% of people are infertile anyway - do you want it blamed on the new drug(s) or the radiation? Let's do semen storage and analysis now and find out.

But, most importantly, it is a strong statement of hope and a view to the future. I tell them, "I want you to know we see a future for you. Someday you may be happy we are doing this."

For AYA women it is much, much more complex, but I think still worthwhile

(Graham et a...