March 22, 2026 · Fertility and sterility · DOI: 10.1016/j.fertnstert.2026.03.023

Semen parameters in unirradiated, alkylating agent exposed childhood cancer survivors in the St. Jude Lifetime Cohort Study

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The authors aimed to investigate the long-term effects of alkylating agents on sperm parameters, specifically azoospermia and oligospermia, in adult survivors of childhood cancer who were not treated with radiation. Their findings revealed that a significant proportion of these survivors experienced fertility issues, with increased risks associated with higher doses of alkylating agents, platinating agents, and etoposide. This study highlights the need for improved pre-treatment counseling regarding potential reproductive outcomes for childhood cancer patients.

Daniel M Green, Kendrick Li, Raymond W Ke, Angela Delaney, Christine H Yu, Lu Xie, Kari Bjornard, DeoKumar Srivastava, William H Kutteh, Megan E Ware, Kyla C Shelton, Siddhant Taneja, Kirsten K Ness, John T Lucas, Gregory T Armstrong, Leslie L Robison, Melissa M Hudson

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