If you have pelvic radiotherapy or a hysterectomy, your fertility will be affected. This can be difficult to cope with, even if you have had a family or did not plan to have children. If you have a partner, it is important to discuss your feelings about this together so that you can support each other. Some people find it helpful to talk to someone other than their family and friends. There are support organisations you can contact to share experiences with other people in a similar situation. You may consider counselling. Your doctor or specialist nurse may be able to arrange this for you. Or there are counselling organisations you can contact.
It is important to discuss any concerns you have about your fertility with your healthcare team before treatment starts. They can tell you what options might be available if you would like to have a child in the future. For example, you may be able to have your eggs or embryos (fertilised eggs) frozen and stored for future use. This would have to happen before treatment starts. Embryo storage may be available on the NHS, but you often have to pay privately for other treatments.
After a hysterectomy or pelvic radiotherapy, you will no longer be able to carry a baby in your womb. But surrogacy may be possible. Surrogacy means that another woman carries the baby for you.
If you need fertility advice or fertility treatment before your cancer treatment, your hospital team will refer you to a fertility specialist.