A cancer diagnosis is overwhelming and distressing. Determining whether or not you want kids in the future can get lost among the myriad other quick decisions and stressors patients face, such as finalizing treatment plans, financial concerns, informing loved ones and organizing for time away from work. But family planning needs to be top-of-mind for the estimated 89,500 adolescents and young adults (ages 15 to 39) who are diagnosed with cancer each year in the United States. 

These AYAs, as they're known, have an 84.6 percent five-year survival rate, according to the National Cancer Institute, meaning planning for the future is not only possible, but critical. In fact, fewer people are losing battles against cancer overall; the American Cancer Society found that the death rate plummeted 31 percent between 1991 and 2018. 

The impact on fertility

Unfortunately, many cancer treatments, such as chemotherapy or pelvic area surgeries for uterine,