Abstract
The diagnosis of cancer and the possibility of iatro-genic infertility secondary to cancer treatment appear to be equal life crises for oncology patients in their reproductive years. These patients require careful screening and sensitive intervention by the oncology team. Case examples illustrate the multiple human costs of neglecting iatrogenic infertility as a clinical problem and examine the painful clinical, ethical, and existential dilemmas caregivers confront in the face of such human longing for life. Recommended changes in clinical practice include an expanded role for the oncology social worker.