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          New Delhi, March 20 (IANS) Newly married and with a great job,   life had just begun for 30-year-old Anshul Sharma when it suddenly hit the pause   button. He was diagnosed with leukaemia, a type of blood   cancer.
 Devastated, he saw his dreams crumble. That was when his doctor   offered him fertility preservation - with which he could procreate despite his   cancer.
 |  "I was completely shattered when I came to know that I had cancer. It is the   kind of mindset that we live in - that cancer means the end of the world. But   thankfully for me, I went to the right doctor who said that my cancer was   curable and that I could opt for the technique before the treatment, so that my   chances of having a child did not diminish," Sharma told IANS.
 "Let me   tell you, it was not an instant 'yay' moment. At that point, four years back, my   and my wife's sole concern was to get rid of the disease. We were given the hope   to have a normal life once again, and I gave in," he added.
 
 Today,   Sharma's cancer is under control, and he hopes to start a family   soon.
 
 Cancer patients, mostly the young, are now often given the choice   of fertility preservation by their oncologist before they start treatment, so   that their chances of having a family does not end with cancer.
 
 According   to the Indian Council of Medical Research (ICMR), there are anywhere between 2.8   to 3 million cancer patients in India.
 
 According to Bhawna Sirohi, head   of the medical oncology department in the Artemis Health Institute, while it is   not necessary that a person suffering from cancer will not bear a child, and   chances are high if he or she is young, the treatment procedure - which may   include chemotherapy and radiation - diminishes his or her   fertility.
 
 "Chemotherapy and radiation affect the sperm count and egg   production in men and women respectively, and hence patients run the risk of   infertility, post-the treatment. Therefore, it is of utmost importance that a   doctor offers fertility preservation to a patient before starting the   treatment," Sirohi told IANS.
 
 "It becomes even more important to offer   the choice when a patient is young and has the desire to the start a family,"   she added.
 
 The issue becomes even more important considering that younger   people are increasingly diagnosed with cancer, said B.N. Das, a senior   gynae-oncology consultant.
 
 "Figures show that 8 to 10 percent of cancer   patients these days are below the age of 40. Cancer in this reproductive age is   a matter of great concern for both the patient and the doctor. To deal with the   double whammy of cancer and then possible infertility, fertility preservation is   important," Das said.
 
 In case of men, the procedure constitutes sperm   cryopreservation - when the sperms are frozen for an indefinite period. They are   advised abstinence from sexual activity three days before the   procedure.
 
 "It's much easier in men than in women. In women, when the   ovary has to be stimulated to produce eggs, the process can delay the treatment   by four to six weeks," Sirohi said.
 
 "That long a delay in serious cases,   like blood cancer, when even 24 hours can mean a lot, is not advisable. In that   case, another procedure, which involves cutting a part of the ovary to harvest   eggs, is the best option," she added.
 
 Asma Khan is a 33-year-old business   executive who was detected with breast cancer last year. Doing well   professionally, with no plans to get married as yet, cancer changed the course   of her life.
 
 "But I was not one of those to give up. My life had to be   planned carefully, to give myself the best chance. And that included getting   married and having kids. My doctor told me about fertility preservation and   after discussing it with my boyfriend, I went ahead," Khan said.
 
 Six   weeks later, she started her chemotherapy session.
 
 Doctors however advise   not to go for a child for at least two years after the cancer has been   controlled because chances of recurrence during this period is high.
 
 "One   of my young patients was heartbroken when she came under the double whammy of   ovarian cancer and the risk of infertility. Fortunately, her cancer was in the   early stage and she went for fertility preservation. Today, her cancer is under   control and she is the proud mother of a baby boy," Das said.
 
 "Every   week, I get young patients and, depending on the case, I offer them fertility   preservation. Oncologists must make it a point to discuss these things with   their patients and give them the hope to live a 'normal' life once again,"   Sirohi added.
 
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