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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Infertility Caused By Radiotherapy To The Testicle Be Treated?

I am newly widowed and being treated with testosterone via skin patches following confirmatory radiotherapy to my remaining testicle after an orchidectomy. I had a tumour on it which proved to be stage 1 non-Hodgkin's lymphoma which was treated primarily by chemotherapy. I am in complete remission, had few problems with the treatments and now feel marvellously well. But I am of course now infertile. Are you with me so far? If so, I'll continue with my problem
Wed, 31 Jan 2018
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Oncologist 's  Response
Hi

After hearing your history,

I prefer infertility caused by radiotherapy to testicle treated by
AI (artificial insemination),
IVF (in Vitro Fertilization),
ICSI (Intracytoplasmic sperm injection),
fertility cycle enhancement,
surrogacy and other common fertility treatments.

ICSI allows even poor quality cryopreserved spermatozoa to result in pregnancy ICSI, has also be used to achieve pregnancies using spermatozoa retrieved by testicular biopsy from an azoospermic patient.

If a male survivor is suffering from true azoospermia or a female survivor underwent bilateral oophorectomy, and did not pursue cryopreservation, using donated sperm and/or ova is a possibility.

The donated gametes are usually matched to the prospective parents' ethnicity, hair and eye color.

Regards,
Dr. Monish De, Oncologist
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Oncologist Dr. Monish De's  Response
Hi

After hearing your history i would advise you to go to a sperm bank.

Sperm banking means collecting and storing your sperm.

You can then use the sperm later to father a child through fertility treatment

You will need to produce several samples of sperm over a few weeks. These are frozen and stored. You usually have tests first for infections such as hepatitis and HIV.


When you and your partner want a baby, the clinic specialists thaw the samples. They then use them to inseminate your partner. Inseminate means putting your sperm into your partner to start a pregnancy. Many people have had healthy babies after fertility treatment following chemotherapy.

I will also advise you to do sperm count test before you go for sperm banking.

Regards

Dr Monish De,
Oncologist.
I find this answer helpful

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Can Infertility Caused By Radiotherapy To The Testicle Be Treated?

Hi After hearing your history, I prefer infertility caused by radiotherapy to testicle treated by AI (artificial insemination), IVF (in Vitro Fertilization), ICSI (Intracytoplasmic sperm injection), fertility cycle enhancement, surrogacy and other common fertility treatments. ICSI allows even poor quality cryopreserved spermatozoa to result in pregnancy ICSI, has also be used to achieve pregnancies using spermatozoa retrieved by testicular biopsy from an azoospermic patient. If a male survivor is suffering from true azoospermia or a female survivor underwent bilateral oophorectomy, and did not pursue cryopreservation, using donated sperm and/or ova is a possibility. The donated gametes are usually matched to the prospective parents ethnicity, hair and eye color. Regards, Dr. Monish De, Oncologist