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Topics:
Radiation Oncology • Non-malignant Disease • General Radiation Oncology • Fertility Preservation • Survivorship
Do you counsel young patients on infertility risks following HO prophylaxis with RT?
How long do you advise them to refrain from unprotected sex following RT? I was trained to discuss these issues with patients but the gonadal dose seems too low to cause infertility or heritable effects.
Radiation Oncologist
Yes, we do counsel. We also use scrotal 'clamp-shell' blocking. We also block the ovaries. We advise, as we do for other patients who receive RT close to genital areas, that they should avoid child bearing for 6-12 months.
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Answer from: Radiation Oncologist at Community Practice
The original emailed poll question said, "How long do you advise patients to refrain from unprotected sex following RT for HO prophylaxis? " In terms of intercourse in and of itself, I do not give any restrictions.
But after answering the poll, the main question changes to "Do you counsel young pat...
Answer from: Radiation Oncologist at Academic Institution
I agree with the answers put forth. A clamshell might be difficult given the bandaging when RT is given postoperatively, but at the very least, holding off on childbearing for at least 6 months is recommended.