Illnesses whose treatment can be accompanied a reduction in fertility

More and more people will have to deal with the diagnosis of a potentially life-threatening illness and its treatment during the course of their lives. Fortunately, surgical and medical treatment of cancer offers the chance of a cure.  It can therefore be important to consider the consequences for life “afterwards”.

Some illnesses and their treatments can damage the ovarian or testicular tissue and potentially lead to infertility and symptoms of hormone deficiency (resulting in premature menopause in women). Chemotherapy and radiotherapy, which are necessary in many cases to treat cancer, do not only damage cancer cells, but depending on the medication and necessary dosage, also damage the germ cells, i.e. eggs and sperm. Non-malignant, rheumatic or autoimmune diseases are sometimes treated with cytotoxic drugs, but usually over a longer period of time and at a lower dosage.

Here is an overview of the most common diseases where, as a result of the illness or treatment, measures to preserve fertility should be discussed.