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Andrology. 2017 Jul;5(4):631-639. doi: 10.1111/andr.12371. Epub 2017 Jun 18.

Ethical, moral, and theological insights into advances in male pediatric and adolescent fertility preservation.

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UCSF/UCB Joint Medical Program, Berkeley, CA, USA.
Department of Urology, University of California, San Francisco, San Francisco, CA, USA.
Department of Urology, Northwestern University School of Medicine, Chicago, IL, USA.
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA.
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA, USA.


The successful treatment of boys with cancer has led to increasing attention to preserving their quality of life after completing cancer therapy. One of the top priorities for living a full life is keeping open the opportunity to have children. While sperm banking for males facing sterilizing cancer treatment can be effective, this approach requires subsequent use of reproductive procedures such as in vitro fertilization (IVF) or intrauterine insemination (IUI) to achieve a pregnancy. Advances in fertility preservation techniques may allow pre-pubertal boys to conceive using advanced stem cell technologies and stem cell transplantation in the future. This review summarizes the ethical positions of leading medical societies and explores the religious and moral stances of major religious institutions regarding these options.


ethics; fertility preservation; oncofertility; pediatric oncology; religion

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