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      James Klosky
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        It’s always ideal to bank sperm prior to the start of gonadotoxic cancer therapy. But in some cases, families are not ready to make a decision within that time frame and express a desire to bank sperm after treatment has already started. When there is a possibility that a) the patient could collect a sample and it would be azoospermic (or in other words, there would be nothing in the ejaculate to bank), or b) there is the possibility of DNA-related changes in the sperm which would yield the chemotherapy exposed sample as non-optimal for reproduction in the future, how would you counsel this patient and family?

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