If having biological children is something you may want in the future, there are options to preserve your fertility before—and in some cases—cancer treatment. Iris can help you understand those options and provide emotional support along the way, as decisions about fertility can be complicated.

Sperm banking (also called sperm cryopreservation) is the most common and effective method. Here’s what to keep in mind: 

• Timing: Ideally done before starting any chemotherapy or radiation aimed near the testicles. 

• Process: Involves providing a semen sample, usually through masturbation. Alternatives exist if that’s not an option for personal or religious reasons. 

• Collection Locations: Many fertility labs offer in-person or home collection options, with express shipping to a sperm bank. 

• Costs: Banking and storing sperm may not be covered by insurance. Additional costs apply if you use the sperm later for fertility procedures like IVF or IUI. 

• Testing: Most sperm banks test for sexually transmitted infections. Some offer special storage options for men who test positive for certain viruses for an additional fee.

For some men, cancer treatment makes it difficult or impossible to ejaculate. That doesn’t mean fertility preservation is off the table. 

Learning that standard sperm banking may not be a possible option can be both discouraging and distressing. However, you’re not alone in this—there are still alternative options available, and emotional support can be a key part of coping with these changes. Seeking support is a sign of strength—consider working with an Iris licensed oncology-specialized therapist to help you process any emotional or relationship impacts tied to these challenges.  

• Retrograde ejaculation treatments may allow semen to be collected from the bladder after orgasm. 

• Electroejaculation is a medical procedure that can trigger ejaculation, especially useful for men with spinal cord injuries or certain types of nerve damage. It's done under anesthesia in a specialized clinic. 

• Sperm retrieval surgeries allow specialists to extract sperm directly from the testicles or nearby structures. These are outpatient procedures and are often successful even when other methods haven’t worked.

If you’re facing cancer, fertility may not be your first concern—but it matters. Your future family-building options can be preserved with the right timing and support. 

It’s common to feel uncertain, anxious, or even grief when facing fertility changes. That’s why your Iris Care Team includes licensed oncology-specialized therapists—available to support you in processing your emotions, navigating conversations about fertility, and protecting your overall well-being. 

For guidance, financial assistance, and resources, visit: Alliance for Fertility Preservation—They offer a directory of clinics, a breakdown of insurance mandates by state, and links to programs that can help offset costs. 

And, of course, reach out to your Iris Care Team with any questions you may have.