Reproductive health after cancer.

Recent diagnostic and therapeutic advances in oncology have led to greater survival rates in children and reproductive aged adults with malignancies. However, while cancer therapies improve long-term survival, such treatments can lead to a variety of reproductive problems including abnormal pubertal development, infertility, premature gonadal failure, and sexual dysfunction [1, 2]. As more children and young adults survive cancer and lead productive lives, these concerns are becoming increasingly important. However, the treatment of these conditions can be complicated both by the previous diagnosis of cancer and by comorbidities related to previous cancer therapy. Collaboration with a subspecialist in the area of reproductive endocrinology before and after cancer treatment can be helpful in managing the reproductive needs of cancer survivors [3]. Clinicians must be aware of the reproductive consequences of cancer therapies in order to anticipate and address the needs of cancer survivors so that they can lead healthy, fulfilled lives.