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Does Hodgkin lymphoma at 26 cause infertility later in life?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I was diagnosed with Hodgkin’s lymphoma last week, and I am only 26. I have not fully processed it yet. The thing that has been weighing on me more than anything is whether I can still have children someday.

Does a diagnosis of Hodgkin’s lymphoma at 26 mean I will not be able to have children later, or is this something the treatment team can help protect before chemotherapy starts?

Please advise.

Thank you.

Answered by Dr. Ashraf Ghani

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

I am really sorry you have to deal with this so early in life. It makes sense that your mind is already jumping to the future, like thinking about having kids one day.

Hodgkin lymphoma by itself usually does not make someone infertile. The bigger concern is not the illness, but the treatment used to fight it. Treatments like chemotherapy and sometimes radiation therapy can affect the body’s reproductive organs (like ovaries or testes). How much it affects fertility depends on the type of drugs, the dose, and where radiation is given.

So the key idea is that it is not the cancer itself; it is the treatment that may sometimes affect fertility.

That is why doctors pay a lot of attention to fertility preservation before treatment starts. There is often a small but important time window to plan ahead. Depending on your situation, options might include the following:

  • Sperm banking (for males).
  • Egg freezing (oocyte cryopreservation) or embryo freezing (for females).

Sometimes, doctors also refer patients to a fertility specialist (reproductive endocrinologist) to plan the safest option based on the treatment plan.

The good news is that many people who are treated for Hodgkin lymphoma later go on to have children naturally or with medical help. Risks are not the same for everyone, but there is definitely real hope, and your medical team can help protect your future plans as much as possible while treating the cancer effectively.

I hope this helps you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At July 19, 2026
Reviewed At July 19, 2026

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

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