Cancer treatment can be lifesaving, but it can also impact a patient’s future fertility. Sukhkamal Campbell, M.D., director of Fertility Preservation Services at UAB Medicine, discusses why early fertility preservation conversations are critical for patients of all ages. She reviews current and emerging preservation options, the oncologist’s role in initiating these discussions, considerations for pediatric and adult patients, and how a multidisciplinary approach can reduce regret and improve long-term quality of life for cancer survivors.