Home > Living with Cancer > Handling Side Effects

Preserving the Future

Sperm banking offers fertility protection for men facing cancer treatment, con't.

Q. Will treatment be delayed by sperm banking?

In some cases, yes, but only by a few days. Your doctor will advise you whether it's safe to proceed with sperm banking. In most cases, it is.

Q. How does it work?

Sperm is collected through masturbation. The U-M Center for Reproductive Medicine will analyze and freeze the sample. A small portion will be thawed to determine the number and viability of the sperm after freezing and thawing. As many as half of the sperm in a sample may not survive the process, so the lab will take that into account when determining the ideal number of samples required to optimize the chances of reproduction in the future.

Q. How many visits does it usually require?

On average, our patients usually need to produce three samples to ensure an adequate number of sperm for future use. However, some men will produce samples with higher numbers of viable sperm, which means fewer visits to the lab will be needed. Other men may only be able to produce one sample, due to their treatment schedule or health. With the help of assisted reproductive technologies, pregnancies are possible with very small numbers of sperm.

Q. What if a patient isn't comfortable discussing masturbation?

We completely understand that this can be an embarrassing topic to discuss. But sperm banking is an important medical concern that has life-altering impact. Our goal is to help male patients have children in the future. We treat all of our patients with absolute professionalism, and we try to make an awkward situation as comfortable as possible.

Q. Can patients bring in samples from home?

Yes, our lab provides approved containers that patients may use at home to collect a sample. The sample must arrive at the clinic within one hour of ejaculation. Patients may also use a private, locked room at U-M's Briarwood Center for Reproductive Medicine.

Q. How much does it cost?

The cost for men who produce three samples is about $1,000. The Cancer Center is a partner in the Sharing Hope Program for Men, which offers financial assistance to families who earn less than $75,000 or individuals who earn less than $50,000.

Q: You mentioned that very few men who are eligible decide to bank their sperm. Why?

For many, it's just too embarrassing to talk about masturbation -- or they may have social or religious objections. Sometimes, the health-care team does not inform the patient. But I think the most common reason is that patients are simply overwhelmed. They are trying to cope with a tremendous amount of information related directly to their cancer diagnosis, and throwing infertility into the mix is just too much. But unfortunately, fertility is something that has to be considered up front, because sperm banking isn't always an option after treatment begins. We aim to help our patients overcome obstacles to maintaining their fertility in the future. Many men may be able to conceive naturally after treatment, but for those who do become infertile, sperm banking is their insurance policy.

Learn more by watching "Preparing for the Future," a seven part video series.

 

 

Return to top

To make an appointment with the Center for Reproductive Medicine, call 734-763-4323.

This article first appeared in the Spring, 2010 issue of Thrive.

Print the issue