Nowadays cancer is diagnosed earlier and age at pregnancy is delaying, making fertility counseling an issue of greater importance. Not only it can help younger cancer patients to fulfill the desire to have a child, but it also increases the quality of life, giving hope for the future, even if the patient will not get pregnant or if she will not pursue active strategies to protect fertility before chemotherapy or radiotherapy.

All professionals who deal with breast cancer patients have the duty to know it and to actively inform patients in fertile age about how to limit the gonodotoxic effects of cancer treatments. However, the oncofertility is a rapidly evolving, complicated, and still partly experimental issue. This article is intended to help giving evidence based answers to the main questions the patients ask.