13 doctors weighed in:

My husband had bone cancer as a child and was treated with a lot of chemo. He lived! will he have fertility problems as a result? He is also not interested in sex.

13 doctors weighed in
Dr. Michael Opsahl
Fertility Medicine
4 doctors agree

In brief: Sperm Cnt & Chemo

Chemo can be toxic to sperm production.
Some men loose all their sperm producing cells, so dr durso is correct. You should also know that the sperm can return after a number of yrs. Some men with no sperm in semen have had sperm recovered from the testes using microsurgery, then ivf with icsi. The risk of chemo depends on the drugs, the amount, and the age at treatment. Best wishes.

In brief: Sperm Cnt & Chemo

Chemo can be toxic to sperm production.
Some men loose all their sperm producing cells, so dr durso is correct. You should also know that the sperm can return after a number of yrs. Some men with no sperm in semen have had sperm recovered from the testes using microsurgery, then ivf with icsi. The risk of chemo depends on the drugs, the amount, and the age at treatment. Best wishes.
Dr. Michael Opsahl
Dr. Michael Opsahl
Thank
Dr. Nancy Durso
Fertility Medicine
4 doctors agree

In brief: Possibly

Chemotherapy is used to kill off the bad cancer cells.
Sometimes it also kills off normal cells. It is possible that the sperm cells were killed off either partially ( low count) or completely (no sperm at all). Low desire for sex may be related to a low amount of testosterone. He should have a blood test for testosterone and a semen analysis to find out if he will have problems.

In brief: Possibly

Chemotherapy is used to kill off the bad cancer cells.
Sometimes it also kills off normal cells. It is possible that the sperm cells were killed off either partially ( low count) or completely (no sperm at all). Low desire for sex may be related to a low amount of testosterone. He should have a blood test for testosterone and a semen analysis to find out if he will have problems.
Dr. Nancy Durso
Dr. Nancy Durso
Thank
Dr. Bahman Daneshfar
Radiation Oncology
3 doctors agree

In brief: Possibly

Talk with him to see a urologist and have him evaluated for fertility and testosterone levels.
It is possible there was an effect.

In brief: Possibly

Talk with him to see a urologist and have him evaluated for fertility and testosterone levels.
It is possible there was an effect.
Dr. Bahman Daneshfar
Dr. Bahman Daneshfar
Thank
Dr. Andrew Turrisi
Radiation Oncology
1 doctor agrees

In brief: Sorry to hear this

But childhood survivors do have lingering effects of treatment.
Many agents harm germ cells for reproduction, but most do not eliminate hormone production from testis. It sounds as if this is a problem. He can be worked up by a urologist and endocrinologist for function, but talk therapy for both with a counselor in important to preserve or restore harmony.

In brief: Sorry to hear this

But childhood survivors do have lingering effects of treatment.
Many agents harm germ cells for reproduction, but most do not eliminate hormone production from testis. It sounds as if this is a problem. He can be worked up by a urologist and endocrinologist for function, but talk therapy for both with a counselor in important to preserve or restore harmony.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
Thank
Dr. Kathleen Hong
Fertility Medicine

In brief: Probably

It depends on what kind of chemotherapy he received, but it has most likely affected his ability to produce sperm.
The only way to know is to do a semenanalysis to see if there are any sperm in his ejaculate.

In brief: Probably

It depends on what kind of chemotherapy he received, but it has most likely affected his ability to produce sperm.
The only way to know is to do a semenanalysis to see if there are any sperm in his ejaculate.
Dr. Kathleen Hong
Dr. Kathleen Hong
Thank
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