You have recently been told that you are going to need treatment for your cancer. This treatment, chemotherapy, radiotherapy or surgery, may damage your future ability to father a child naturally.
You will have been given some information to read about cancer and infertility the cancer backup fact sheet). This leaflet will offer you some additional local information about sperm banking.
The choice to have fertility treatment is yours. We can advise you about sperm banking and refer you to the specialist clinic at Cambridge IVF for more detailed information, discussion and sperm collection and storage.
Cancer and its treatments can sometimes lower the number of sperm produced leading to infertility. In the majority of cases this is only temporary and the sperm count will return to normal within two years of finishing treatment. However, for a number of men who receive chemotherapy the sperm count will not recover, resulting in infertility.
Successful sperm banking before treatment can preserve the possibility of fathering a child at a later date using the stored sperm should this happen to you.
Sperm banking is the preservation (or saving) of sperm by freezing so it may be used at some time in the future for artificial insemination or other assisted reproduction techniques.
You will have a consultation with a specialist and will be given the opportunity to discuss your fertility concerns and ask any questions about their procedures. If you have a partner, it may be a good idea for them to accompany you so they can be present during these discussions.
You should not ejaculate for at least 72 hours prior to your visit as you will be asked to produce a sperm sample for analysis and storage. This is done via masturbation into a container in a private room at the clinic. You will be given complete privacy to do this and your partner may accompany you if you wish.
The number of visits you will need to make to the clinic will depend upon the urgency with which you need to start your treatment and the judgment of the fertility specialist. It is possible for you to attend immediately after your first cycle of treatment, if required, as the testis will still contain some healthy sperm produced before the chemotherapy.
Storing sperm of good quality gives a realistic chance of fathering a child at a later date through assisted conception. However, no pregnancy is guaranteed. Having cancer should not affect the quality of your sperm. However, occasionally, due to illness, sperm quality may have deteriorated.
Freezing and then thawing sperm can also cause a percentage of them to stop moving. You can be reassured that you cannot pass on cancer to a partner via your sperm and there has been no link seen between children conceived after chemotherapy and problems at birth or in the baby’s development.
The Human Fertilisation and Embryology Association (HFEA) require that the blood of men storing sperm is screened for HIV, hepatitis B and hepatitis C. This is to preserve the safety of any future partners and children conceived using the sperm. Your team of doctors and nurses will arrange this for you. If you have any concerns regarding giving your consent for these tests, please discuss this with your doctor or nurse and we can arrange for you to see a counsellor experienced in these matters.
Fertility can be slow to recover after treatment and we would not recommend retesting your sperm count until two years after completing chemotherapy. At this point a result would provide the long term picture of your fertility. If you are fertile, you may decide to ask for your stored sperm to be destroyed. If the result suggests your sperm count is low or absent, the standard practice is to store your semen for 10 years and renew this consent every 10 years as appropriate for a maximum of 55 years in total.
It is essential you keep the fertility clinic notified of any changes in your circumstances, such as a change of address and GP, as they will need to contact you in the future.
At present the NHS will meet the cost of the initial consultations, blood tests and storage. Further funding for fertility treatment is under review and you should discuss this with a member of your oncology team at the appropriate time.
There are a number of legal requirements about the storage of sperm. You will be asked to sign consent forms agreeing to treatment and storage of your sperm. You will also be asked what you would like to do with the stored samples in the event of your premature death.
Finding Cambridge IVF
Cambridge IVF is easy to access by car, public transport and bicycle. When approaching the centre along Trumpington Road, look out for Bidwells Estate Agent on the corner of Maris Lane. Kefford House is immediately behind this complex of buildings and shares a parking lot with them.
Getting here by car
The centre is just off Trumpington Road, easily accessible from the M11 and A11 if coming from outside Cambridge. There is plenty of parking at the centre. You can also park at the Trumpington Park and Ride and take a bus. There is a stop close to the centre on Trumpington Road (see below).
The Trumpington Park and Ride service (Stage Coach route number 88) stops at Anstey Way, on the corner of Maris Lane going towards Cambridge. You can get the same bus from Downing Street in Cambridge city centre.
NB: Do not get the guided bus service from the Park and Ride to Addenbrooke's hospital. This does not pass Cambridge IVF.
The Citi 7 bus also runs between Cambridge city centre and Trumpington, stopping at the Anstey Way stop. This bus also stops at Cambridge station.
If arriving in Cambridge by train, you can take the Citi 7 bus to the centre as described above.
Privacy and dignity
Same sex bays and bathrooms are offered in all wards except critical care and theatre recovery areas where the use of high-tech equipment and / or specialist one to one care is required.
We are smoke-free
Smoking is not allowed anywhere on the hospital campus. For advice and support in quitting, contact your GP or the free NHS stop smoking helpline on 0800 169 0 169.
Help accessing this information in other formats is available. To find out more about the services we provide, please visit our patient information help page (see link below) or telephone 01223 256998. www.cuh.nhs.uk/contact-us/accessible-information/
Cambridge University Hospitals
NHS Foundation Trust
Hills Road, Cambridge
Telephone +44 (0)1223 245151