Infertility resulting from pelvic radiotherapy

There is a strong risk that pelvic radiotherapy will make you unable to father any children (infertile). This is because the testes, where sperm are produced, are very sensitive to radiotherapy, even if they aren’t directly within the treatment area.

Your doctor or specialist nurse can talk to you about the likely effects of radiotherapy in your particular case.

Many men find losing their fertility difficult to come to terms with. In some situations, it may be possible for sperm to be collected before the treatment starts. The sperm can then be stored for use in the future.

It’s important to talk to your doctor or nurse before your treatment starts. They can advise you about sperm collection and storage. We can send you detailed information about fertility and cancer treatments.

Emotional effects Back to top

People vary in their reactions to infertility. Some men may come to terms with it more quickly and feel that dealing with the cancer is more important. Others may find that they accept the news calmly when they start treatment, and find that the impact doesn’t hit them until the treatment is over and they are sorting out their lives again. There is no right or wrong way to react.

If you have a partner they will need special consideration in any discussions about fertility and future plans. You may both need to speak to a professional counsellor or therapist specialising in fertility problems. They can help you to come to terms with your situation. Your doctor may be able to refer you to a fertility specialist. Our cancer support specialists| can discuss problems you may have and they can also help you to find a counsellor who can give you help and advice.

We have more information about the feelings| you may have and how to deal with them.

Contraception Back to top

As you may still be producing sperm for some time after treatment, you will be advised to use condoms during sex. Some doctors recommend you do this for six months and others for up to two years after treatment. This is because sperm produced after treatment may still be fertile but could be damaged. This could cause abnormalities in a child conceived soon after pelvic radiotherapy.