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The intersection of financial toxicity and family building in young adult cancer survivors

INTRODUCTION The convergence of financial toxicity and family-building difficulties after cancer creates unique challenges for young adult (YA; individuals aged 18-39 years) cancer survivors. Financial toxicity, the economic distress or hardship resulting from cancer treatment, has been reported among YA survivors at alarming rates; at the same time, YAs who experience fertility impairment as a result of treatment may in addition face costly family-building options. These combined financial pressures can have significant effects on family-building decisions and financial outcomes in both the short-term and long-term. Herein, we describe how financial toxicity and the fertility-related side effects of treatment can co-occur among YA cancer survivors and propose steps to alleviate the distress associated with this intersection.