Podcasts

Episode 117: Fertility 101: Oncofertility

Written by ShannonZuber | Oct 4, 2021, 4:00:00 AM

The Fertility 101 Series, because there’s no shortage of daunting terms to keep your mind running, is a quick and dirty breakdown on a specific topic with insights from a fertility expert.

In today’s episode, we talk about oncofertility and the opportunity this gives to patients for life after cancer. Dr. Wael Salem of CCRM San Francisco joins us to help breakdown the most common questions and misconceptions when it comes to fertility preservation before undergoing cancer treatment.

Guest: Dr. Wael Salem, CCRM San Francisco 

Host: Dan Bulger 

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Here are some highlights from this episode: 

What is Oncofertility?
1:39 – 2:38 

Dan Bulger: What is oncofertility? 

Dr. Wael Salem: Oncofertility is the general field that melds together healthcare professionals from oncology and fertility in order to help a patient navigate the possible impacts of cancer treatments and their cancer on their fertility. It’s also about thinking a little step further. The overarching goal of oncofertility is to, of course, treat the entirety of the patient to treat the patient holistically. More specifically, we’re treating them beyond their cancer into their survivorship. Cancer shouldn’t define anybody. It’s a remarkably big life event. But the field of oncofertility is one that has been established to look at the survivorship portion of life and all the big events that follow cancer treatment, including building your family. 

Oncofertility Misconceptions  
14:12 – 16:28 

Dan Bulger: Oncofertility is the marriage of two very complicated fields of medicine, oncology, and fertility. And this complexity, along with all the fear associated with cancer, has led to some dangerous misconceptions lingering out there. Well, we wanted to see if Dr. Salim could help clear the air. 

Dr. Wael Salem: There are still many misconceptions that that linger out there. 

The first one is that this jeopardizes the care of one’s cancer and it takes too long. Studies have all shown us that with our modern protocols, it does not take longer to do the fertility preservation compared to the standard route that it would take to get your chemotherapy or your treatment started. 

The second misconception is that it’s unaffordable. A lot of times, patients are surprised to find out how accessible this really is, or they’re pleasantly surprised to find out that it’s completely covered by their health insurance program, or in their state, or that the medications are going to come at no cost to them. 

And then the third misconception is that all cancers and cancer treatments cause infertility. Not all chemotherapies will cause infertility and certainly not all cancers will have treatments that lead to infertility.