Cancer Treatments that Affect Fertility

Chemotherapy

May damage sperm‑producing cells depending on the type of chemotherapy (high, moderate and low risk drugs)

Radiation

1. different locations of radiation delivery 
2. direct testicular radiation, even low doses can affect fertility 
3. radiation near the pelvis, scrotum testes areas 
4. cranial radiation can affect pituitary hormone release and impact testosterone and sperm production