Treatment FAQ

why would someone be sterile when hormone treatment for tumor

by Hank Schoen Published 2 years ago Updated 2 years ago

A tumor or other problem might block or press on an organ and cause it to not work properly. Hormones that are needed to help with conception can be disrupted. Testicles may not make healthy sperm or might make fewer or no sperm at all.

The ovaries don't contain healthy eggs. Hormones that are needed to help with egg release are disrupted. A tumor or other problem might press on the ovaries or uterus (womb) and cause them not to work properly. Damage to other parts of the reproductive system prevents eggs from being released, fertilized, or implanted.Feb 6, 2020

Full Answer

How are hormones used to treat cancer?

Treating cancer with hormones is called hormone therapy, hormonal therapy, or endocrine therapy. Hormone therapy is mostly used to treat certain kinds of breast cancer and prostate cancer that depend on sex hormones to grow. A few other cancers can be treated with hormone therapy, too. Hormone therapy is considered a systemic treatment because ...

What is hormone therapy used for?

 · Toremifene is only approved for advanced stage breast cancer that has spread. Risks: In addition to more common side effects of hormone therapy such as hot flashes, tamoxifen risks may include blood clots, stroke, bone loss, mood changes, depression and loss of sex drive. Men who take tamoxifen may experience headaches, nausea, vomiting, rashes ...

Is hormone therapy right for breast cancer patients?

 · Tumors that are hormone insensitive do not have hormone receptors and do not respond to hormone therapy. Hormone therapy for breast cancer should not be confused with menopausal hormone therapy (MHT)—treatment with estrogen alone or in combination with progesterone to help relieve symptoms of menopause. These two types of therapy produce …

What are the side effects of hormone therapy for cancer?

Androgens (male sex hormones) are a class of hormones that control the development and maintenance of male characteristics. The most abundant androgens in men are testosterone and dihydrotestosterone (DHT). Androgens are required for normal growth and function of the prostate, a gland in the male reproductive system that helps make semen.

Does hormone therapy for cancer cause infertility?

These drugs do not cause infertility and do not damage the ovaries or eggs. Although hormone treatments for breast cancer are used for many years, it is often possible to take a break from the drugs to try for a baby.

Does cancer treatment make you sterile?

After chemo treatment, sperm production slows down or might stop altogether. Some sperm production might return, but can take many years, and sometimes does not return at all. Chemo drugs that are linked to the risk of infertility in males include: Busulfan.

What is sterility from chemotherapy?

How chemotherapy affects women's fertility. Chemotherapy can stop your ovaries from working. This causes infertility, which can be temporary or permanent. It can also bring on the menopause.

Can chemotherapy cause a man to be sterile?

Chemotherapy (especially alkylating drugs) can damage sperm in men and sperm-forming cells (germ cells) in young boys. Hormone therapy (also called endocrine therapy) can decrease the production of sperm.

How does cancer treatment affect fertility?

Chemotherapy can reduce the number of eggs stored in the ovaries. It can also make you release fewer or no eggs. This means you may be infertile for a while (temporary infertility). Chemotherapy sometimes causes permanent infertility and an early menopause.

Can you get pregnant while on hormone therapy?

Hormone replacement therapy works by replenishing the necessary hormones, thus increasing the chances of conception. This treatment is also effective in case of infertility that arises from irregular ovulatory cycles. So if you're wondering whether you can get pregnant on HRT, the answer is yes.

Can a man have a baby after chemotherapy?

Fathering a child after cancer treatment Men can try to have a child after cancer treatment ends. There are no firm rules for how long men should wait after treatment, but health care providers usually recommend waiting 2 to 5 years. Sperm may be damaged by chemotherapy or radiation therapy.

Can you kiss while on chemo?

You are reading this because you or someone you are caring for is receiving chemotherapy. Chemotherapy is strong medicine used to fight cancer. While taking chemotherapy, it is safe to touch other people (including hugging or kissing). However, special care is needed to protect others from contact with the medication.

Does radiation therapy cause infertility?

Radiation to the pelvis area For a woman getting radiation therapy to the abdomen (belly) or pelvis, the amount of radiation absorbed by the ovaries will determine if she becomes infertile. High doses can destroy some or all of the eggs in the ovaries and might cause infertility or early menopause.

What are the chances of a man being infertile?

Infertility affects one in every six couples who are trying to conceive. In at least half of all cases of infertility, a male factor is a major or contributing cause. This means that about 10% of all males in the United States who are attempting to conceive suffer from infertility.

Does cisplatin cause infertility in males?

Abstract. ABSTRACT: Exposure to cisplatin results in impaired spermatogenesis, azoospermia, and, sometimes, permanent infertility in male patients. The mechanism(s) by which cisplatin induces damage to testicular cells is poorly understood.

How long after chemo does sperm come back?

Some men regain the ability to produce sperm after treatment. This generally takes 1 to 3 years, but can sometimes take longer. Some men have only partial recovery, with low sperm counts, and some men never recover sperm production.

What are hormones and hormone receptors?

Hormones are substances that function as chemical messengers in the body. They affect the actions of cells and tissues at various locations in the...

What is hormone therapy?

Hormone therapy (also called hormonal therapy, hormone treatment, or endocrine therapy) slows or stops the growth of hormone-sensitive tumors by bl...

What types of hormone therapy are used for breast cancer?

Several strategies are used to treat hormone-sensitive breast cancer: Blocking ovarian function: Because the ovaries are the main source of est...

How is hormone therapy used to treat breast cancer?

There are three main ways that hormone therapy is used to treat hormone-sensitive breast cancer: Adjuvant therapy for early-stage breast cancer: Ta...

Can hormone therapy be used to prevent breast cancer?

Yes. Most breast cancers are ER positive , and clinical trials have tested whether hormone therapy can be used to prevent breast cancer in women w...

What are the side effects of hormone therapy?

The side effects of hormone therapy depend largely on the specific drug or the type of treatment ( 7 ). The benefits and harms of taking hormone th...

Can other drugs interfere with hormone therapy?

Certain drugs, including several commonly prescribed antidepressants (those in the category called selective serotonin reuptake inhibitors , or...

How does hormone therapy help cancer?

Alter the hormone so it doesn't work like it should. Hormone therapy can be used to: Treat a certain kind of cancer by stopping or slowing its growth. Lessen symptoms related to a certain type of cancer.

Why is hormone therapy used?

Hormone therapy is mostly used to treat certain kinds of breast cancer and prostate cancer that depend on sex hormones to grow. A few other cancers can be treated with hormone therapy, too. Hormone therapy is considered a systemic treatment because the hormones they target circulate in the body. The drugs used in hormone therapy travel ...

Is hormone therapy a systemic treatment?

A few other cancers can be treated with hormone therapy, too. Hormone therapy is considered a systemic treatment because the hormones they target circulate in the body. The drugs used in hormone therapy travel throughout the body to target and find the hormones.

Where do you give hormone injections?

Some types of hormone therapy are injections given in the arm, leg, or hip. These are called intramuscular (or IM) injections. There are also types that are given just under the skin of the abdomen (belly). These are called subcutaneous (SC or sub-Q) injections. How often they are given depends on the drug and type of cancer being treated. The injections might be given in your treatment center or doctor's office. Sometimes patients are taught to give their own injections or a caregiver can be taught to give them.

What are some examples of hormones?

For example, some parts of the body rely on sex hormones, such as estrogen, testosterone, and progesterone, to function properly. There are other types of hormones in our bodies, too, such as thyroid hormones, cortisol, adrenaline, and insulin. Different types of hormones are made by different organs or glands.

What is the treatment for breast cancer?

Treating cancer with hormones is called hormone therapy, hormonal therapy, or endocrine therapy. Hormone therapy is mostly used to treat certain kinds of breast cancer ...

What type of surgery is used to remove the testicles?

Some types of surgery can also be forms of hormone therapy. For example, an orchiectomy (surgery to remove the testicles, the body’s main source of testosterone) can be an option for some men with prostate cancer who need hormone therapy as part of their treatment. Likewise, an oophorectomy (surgery to remove the ovaries, ...

Does hormone therapy stop cancer?

Certain cancers rely on hormones to grow. In these cases, hormone therapy may slow or stop their spread by blocking the body’s ability to produce these particular hormones or changing how hormone receptors behave in the body. Breast and prostate cancers are the two types most commonly treated with hormone therapy.

Can hormones help with cancer?

Cancer of the uterus or its lining, the endometrium, may respond to hormone therapy with progestins. Other types of hormone therapy for endometrial cancer include: When and why they’re used: Hormone therapy is typically reserved for advanced uterine or endometrial cancer, or for cancer that has returned after treatment.

What hormones are used for endometrial cancer?

Cancer of the uterus or its lining, the endometrium, may respond to hormone therapy with progestins. Other types of hormone therapy for endometrial cancer include: 1 Tamoxifen 2 LHRH agonists 3 Aromatase inhibitors

What is the treatment for cancer called?

Also referred to as hormonal or endocrine therapy , this cancer treatment is different from menopausal hormone replacement therapy (HRT), which refers to the prescription of supplemental hormones to help relieve the symptoms of menopause. Certain cancers rely on hormones to grow.

Does prostate cancer need testosterone?

By contrast, prostate cancer needs testosterone and other male sex hormones, such as dihydrotestosterone (DHT), to grow and spread. Hormone therapy may help make these hormones less available to growing cancer cells.

Can hormone therapy be used for prostate cancer?

Hormone therapy may be part of prostate cancer treatment if the cancer has spread and can’t be cured by surgery or radiation therapy —or if the patient isn’t a candidate for these other types of treatment. It may also be recommended if cancer remains or returns after surgery or radiation therapy, or to shrink the cancer before radiation therapy.

What is the best treatment for endometrial cancer?

Hormonal therapy for endometrial cancer. Cancer of the uterus or its lining, the endometrium, may respond to hormone therapy with progestins. Other types of hormone therapy for endometrial cancer include: Tamoxifen. LHRH agonists.

Does hormone therapy affect breast cancer?

These two types of therapy produce opposite effects: hormone therapy for breast cancer blocks the growth of HR-positive breast cancer, whereas MHT can stimulate the growth of HR-positive breast cancer. For this reason, when a woman taking MHT is diagnosed with HR-positive breast cancer she is usually asked to stop that therapy.

How to treat hormone sensitive breast cancer?

Several strategies are used to treat hormone-sensitive breast cancer: Blocking ovarian function: Because the ovaries are the main source of estrogen in premenopausal women, estrogen levels in these women can be reduced by eliminating or suppressing ovarian function. Blocking ovarian function is called ovarian ablation.

Which hormone is produced by the ovaries?

The hormones estrogen and progesterone are produced by the ovaries in premenopausal women and by some other tissues, including fat and skin, in both premenopausal and postmenopausal women and in men. Estrogen promotes the development and maintenance of female sex characteristics and the growth of long bones.

How does hormone therapy work?

Hormone therapy (also called hormonal therapy, hormone treatment, or endocrine therapy) slows or stops the growth of hormone-sensitive tumors by blocking the body’s ability to produce hormones or by interfering with effects of hormones on breast cancer cells. Tumors that are hormone insensitive do not have hormone receptors ...

What are the hormones that affect the body?

Hormones are substances that function as chemical messengers in the body. They affect the actions of cells and tissues at various locations in the body, often reaching their targets through the bloodstream. The hormones estrogen and progesterone are produced by the ovaries in premenopausal women and by some other tissues, including fat and skin, ...

What are the receptors in breast cancer?

Hormone-sensitive breast cancer cells contain proteins called hormone receptors ( estrogen receptors, or ERs, and progesterone receptors, or PRs) that become activated when hormones bind to them. The activated receptors cause changes in the expression of specific genes, which can stimulate cell growth.

What are some examples of aromatase inhibitors?

Examples of aromatase inhibitors approved by the FDA are anastrozole (Arimidex) and letrozole (Femara), both of which temporarily inactivate aromatase, and exemestane (Aromasin), which permanently inactivates aromatase.

What happens when hormones can't be injected into cancer cells?

When the hormones can't access the cancer cells, the tumor growth may slow and the cells may die.

What is hormone therapy for breast cancer?

Hormone therapy for breast cancer is a treatment for breast cancers that are sensitive to hormones. The most common forms of hormone therapy for breast cancer work by blocking hormones from attaching to receptors on cancer cells or by decreasing the body's production of hormones. Hormone therapy is only used for breast cancers ...

How to prevent breast cancer from coming back?

Prevent cancer from coming back. Decrease the risk of cancer developing in other breast tissue. Slow or stop the growth of cancer that has spread. Reduce the size of a tumor prior to surgery. There is a problem with information submitted for this request.

What is the best treatment for breast cancer?

Aromatase inhibitors used to treat breast cancer include: Anastrozole (Arimi dex). Anastrozole is used to reduce the risk of cancer recurrence in women who have been treated for early-stage breast cancer. It can also be used to treat advanced breast cancer. Exemestane (Aromasin).

Does radiation reduce breast cancer?

Hormone therapy following surgery, radiation or chemotherapy has been shown to reduce the risk of breast cancer recurrence in people with early-stage hormone-sensitive breast cancers. It can also effectively reduce the risk of metastatic breast cancer growth and progression in people with hormone-sensitive tumors.

Is tamoxifen safe for premenopausal women?

Tamoxifen may also be used to treat advanced cancer. Tamoxifen is appropriate for both premenopausal women and postmenopausal women. Toremifene (Fareston). Toremifene is taken as a daily pill. It's used to treat breast cancer that has spread to other areas of the body.

What is aromatase inhibitor?

Aromatase inhibitors are a class of medicines that reduce the amount of estrogen in your body, depriving breast cancer cells of the hormones they need to grow. Aromatase inhibitors are only used in women who have undergone menopause.

Can hormone therapy be used for prostate cancer?

Relapsed/recurrent prostate cancer. Hormone therapy used alone is the standard treatment for men who have a prostate cancer recurrence as documented by CT, MRI, or bone scan after treatment with radiation therapy or prostatecto my.

Can estrogen be used for prostate cancer?

Although estrogens are also able to inhibit androgen production by the testicles, they are seldom used today in the treatment of prostate cancer because of their side effects. Treatments that block the action of androgens in the body (also called antiandrogen therapies) are typically used when ADT stops working.

Which hormone is responsible for the production of testosterone?

Drawing shows that testosterone production is regulated by luteinizing hormone (LH) and luteinizing hormone-releasing hormone (LHRH). The hypothalamus releases LHRH, which stimulates the release of LH from the pituitary gland. LH acts on specific cells in the testes to produce the majority of testosterone in the body.

Where are androgens produced?

Most of the remaining androgens are produced by the adrenal glands . Androgens are taken up by prostate cells, where they either bind to the androgen receptor directly or are converted to dihydrotestosterone (DHT), which has a greater binding affinity for the androgen receptor than testosterone.

What is the most common treatment for prostate cancer?

Treatments that reduce androgen production by the testicles are the most commonly used hormone therapies for prostate cancer and the first type of hormone therapy that most men with prostate cancer receive. This form of hormone therapy (also called androgen deprivation therapy, or ADT) includes:

What is the procedure to remove testicles?

This form of hormone therapy (also called androgen deprivation therapy, or ADT) includes: Orchiectomy, a surgical procedure to remove one or both testicles. Removal of the testicles, called surgical castration , can reduce the level of testosterone in the blood by 90% to 95% ( 5 ).

What is the LHRH agonist?

LHRH agonists are given by injection or are implanted under the skin. Four LHRH agonists are approved to treat prostate cancer in the United States: leuprolide (Lupron), goserelin (Zoladex), triptorelin (Trelstar), and histrelin (Vantas).

Can hormone therapy be used for prostate cancer?

Your doctor may recommend hormone therapy for prostate cancer as an option at different times and for different reasons during your cancer treatment. Hormone therapy can be used: In advanced (metastatic) prostate cancer to shrink the cancer and slow the growth of tumors, which also might relieve signs and symptoms.

What happens after prostate cancer treatment?

After treatment of prostate cancer, if the prostate-specific antigen (PSA) level remains high or starts rising. In locally advanced prostate cancer, to make external beam radiation therapy more effective in reducing the risk of recurrence. In those with a high risk of recurrence after initial treatment to reduce that risk.

Does radiation therapy help prostate cancer?

In locally advanced prostate cancer, to make external beam radiation therapy more effective in reducing the risk of recurrence. In those with a high risk of recurrence after initial treatment to reduce that risk.

What is the best medication for prostate cancer?

Abiraterone (Yonsa, Zytiga) Corticosteroids, such as prednisone. Enzalutamide (Xtandi) Ketoconazole. Apalutamide (Erleada) These other medications are generally used when advanced prostate cancer no longer responds to other hormone therapy treatments.

Where is prostate cancer located?

Prostate cancer occurs in the prostate gland, which is located just below the bladder in males and surrounds the top portion of the tube that drains urine from the bladder (urethra). This illustration shows a normal prostate gland and a prostate with a tumor.

What is systemic hormone therapy?

Systemic hormones. Hormones can be given so that they enter the bloodstream and circulate to reach all parts of the body. This is called systemic hormone therapy, and it’s often used to treat the symptoms of menopause. Systemic hormone therapy includes:

Can you put estrogen in the bloodstream?

Hormones, most often estrogen, can also be placed in or near the place that needs treatment. This is called topical hormone therapy. If small doses are used, little of the hormone is absorbed into the bloodstream, so it has little if any effect on the rest of the body.

How do hormones work?

Hormones can be given so that they enter the bloodstream and circulate to reach all parts of the body. This is called systemic hormone therapy, and it’s often used to treat the symptoms of menopause. Systemic hormone therapy includes: 1 Pills that contain estrogen and a progestin together, as well as pills that contain each drug separately 2 Skin patches (the hormones are absorbed through the skin) that contain estrogen alone and some that contain estrogen plus a progestin 3 Injections (or shots) into a muscle or under the skin (this isn’t often used to treat the symptoms of menopause). 4 A vaginal ring that delivers a large dose of estrogen to the whole body (Vaginal rings more often deliver low doses and are considered topical therapy. See below.).

What is bio-identical hormone?

The word “bio-identical” is sometimes used by sellers to describe hormone preparations that contain estrogens and progesterone with the same chemical structure as those found naturally in people. Sometimes, how much of the hormones the woman takes are adjusted based on blood tests of hormone levels.

Does MHT help with hot flashes?

In the past, many doctors and their patients believed that MHT didn’t just help with hot flashes and other symptoms – it had important health benefits.

What happens to the ovaries during menopause?

In the months or years leading up to natural menopause, menstrual periods may become less frequent and irregular, and hormone levels may go up and down. This time is called perimenopause or the menopausal transition.

What hormones are produced by the pituitary gland?

Hormones made by the pituitary gland called luteinizing hormone (LH) and follicle stimulating hormone (FSH) help regulate the ovaries before menopause. When levels of estrogen get lower during menopause, the levels of FSH and LH go up.

Can chemo cause sperm to be produced?

During puberty the testicles start making sperm, and they normally will keep doing so for the rest of a man's life. Certain chemotherapy drugs given during childhood, however, can damage testicles and affect their ability to produce sperm. Certain types of chemotherapy later in life can also affect sperm production.

Can cancer cause infertility?

Many experts believe stress and anxiety can cause changes that play a part in infertility. People with certain types of cancer or who are getting treatment for cancer may have fertility problems. Children and teenagers who have cancer are often of special concern. You can read more about specific adult and childhood cancers in Cancer A to Z ...

What is it called when you can't have a child?

When a person cannot have a child, this is called infertility, or being infertile.

What is the procedure to remove bladder cancer?

This procedure is called radical cystectomy .

How does radiation affect fertility?

This is because radiation at high doses kills the stem cells that produce sperm.

Do seed implants help prostate cancer?

Seed implants for prostate cancer ( brachytherapy) do not give a large dose of radiation to the testicles, and many males will remain fertile or recover sperm production. However, it's important to be sure you understand important instructions to follow during and after brachytherapy, such as:

Does bone marrow transplant have radiation?

Having a bone marrow or stem cell transplant usually involves receiving high doses of chemo and sometimes radiation to the whole body before the procedure. In most cases, these procedures have the side of effect of permanently preventing a male's ability to make sperm. This results in lifelong changes to fertility. (See Chemotherapy and Radiation Therapy for more on these parts of the transplant process.) If you'd like to learn more, see Stem Cell Transplant.

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