I appreciate the above comments and the notion that fertility preservation is a way of looking forward to the future. I think it’s a very important point that Felicia raised regarding potential barriers to the patient’s fertility preservation. Many patients I see in survivorship just assume that they cannot afford ovarian harvest or storage of cryopreserved eggs and they do not ask any further questions or say they are not interested. I think it is a good idea to provide information about grants and funds available to help offset the cost of fertility preservation. Providing support groups to patients may be very helpful as many patients both on and off treatment report feeling isolated from their peers who are not undergoing or have survived cancer directed therapy.

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