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Choices Before Treatment, Hope for the Future: A Fertility Preservation Guide for Young Cancer Patients 治療前的選擇,決定未來的希望:給年輕癌症病人的生育保存指南

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Choices Before Treatment, Hope for the Future: A Fertility Preservation Guide for Young Cancer Patients 治療前的選擇,決定未來的希望:給年輕癌症病人的生育保存指南

2025/11/7

Why consider fertility preservation?
Cancer treatments such as chemotherapy, radiotherapy, and surgery may affect reproductive function, leading to ovarian or testicular failure, and ultimately impair fertility.

For cancer patients under the age of 45, if you have not completely given up the possibility of future fertility or wish to preserve your reproductive options, it is recommended to consult a reproductive medicine specialist as early as possible before starting treatment, in order to make a comprehensive plan.

  • Common Cancers Related to Fertility Preservation
  • Breast cancer
  • Hematologic cancers
  • Bone cancer / sarcoma
  • Brain tumors
  • Testicular cancer
  • Ovarian tumors
  • Treatments Affecting Fertility
  • Chemotherapy
  • Radiotherapy
  • Surgery
  • Conditioning regimen before hematopoietic stem cell transplantation (HSCT).

Time Requirements and Methods of Fertility Preservation

Patient Group
Common Preservation Methods
Time Required
Immediate Availability
Women
Egg freezing, embryo freezing
About 10–14 days
Requires scheduling, but can be initiated quickly
Men
Sperm freezing
About 1–3 days
Can be arranged immediately

How to Arrange Fertility Preservation?

You can start in one of the following ways:

  • Get a referral from your cancer care team
  • Schedule a consultation with the Reproductive Medicine Center

Costs and Subsidy Information

  • Fertility preservation is self-pay. Fees vary by method and treatment plan.
  • A government Fertility Preservation Subsidy for Cancer Patients is available:
  • Eligibility depends on factors such as age, cancer type, and the preservation method
  • For details and application support, please contact the Reproductive Medicine Center staffs

Frequently Asked Questions

  • Q: Will fertility preservation delay cancer treatment?
    A: If arranged promptly, preservation can usually be completed within 1–2 weeks and will not significantly affect treatment schedules.
  • Q: I’m single. Can I still preserve fertility?
    A: Yes. Single individuals may choose egg freezing or sperm freezing to preserve future fertility opportunities.
  • Q: How long can preserved eggs, embryos, or sperm be stored?
    A: According to the Artificial Reproduction Act of Taiwan, the standard preservation period is 10 years. Extensions may be applied under special circumstances. It is recommended to consult your care team before expiry.

Contact Information
China Medical University Hospital – Reproductive Medicine Center

  • Consultation & Appointment Hotline: 04-2205-2121 ext. 12827
  • Clinic Location: 15F, Rehabilitation Medical Building, Reproductive Medicine Center
  • Clinic Hours: Monday to Friday (please refer to hospital website for actual schedule)

Friendly Reminder
Each patient’s condition and treatment plan is different. It is recommended to proactively discuss fertility preservation with your cancer care team, and undergo professional evaluation at the Reproductive Medicine Center.

Reference
  • Anazodo, A., Laws, P., Logan, S., Saunders, C., Travaglia, J., Gerstl, B., ... & Sullivan, E. (2019). How can we improve oncofertility care for patients? A systematic scoping review of current international practice and models of care. Human Reproduction Update, 25(2), 159–179. https://doi.org/10.1093/humupd/dmy038
  • Practice Committee of the American Society for Reproductive Medicine. (2019). Fertility preservation in patients undergoing gonadotoxic therapy or gonadectomy: A committee opinion. Fertility and Sterility, 112(6), 1022–1033. https://www.asrm.org/practice-guidance/practice-committee-documents/fertility-preservation-in-patients-undergoing-gonadotoxic-therapy-or-gonadectomy-a-committee-opinion-2019/
  • Salama, M., Woodruff, T. K., Antinori, M., Ardizzoni, A., Azim, A. A., Bianchi, V., ... & Tilleman, K. (2020). ESHRE guideline: Female fertility preservation. Human Reproduction Open, 2020(4), hoaa052. https://doi.org/10.1093/hropen/hoaa052
製作單位:生殖醫學中心 編碼:HE-60075-E
若有任何疑問,請不吝與我們聯絡
電話:(04) 22052121 分機 12827
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