After she was diagnosed with her third cancer, Karen had genetic testing and found that she carries the BRCA-1 mutation, which greatly increases the risk of cancer.

Married at age 34, Karen and her husband wanted children immediately, but she had a miscarriage, and not long after that, a breast cancer diagnosis.

For more than 10 years, because her doctor advised her not to get pregnant to avoid a recurrence, Karen and her husband had to use contraception, despite desperately wanting children. Because of the effects of estrogen on breast cancer, she was unable to use birth control pills.

After battling breast cancer, Karen and her husband made the difficult decision not to have children naturally and decided to adopt, first from Brazil (which resulted in a failed adoption), and then China, twice (both adoptions were cancelled because of new diagnoses).

Karen was sad, angry, and frustrated, but she and her husband ultimately found peace, comfort, and family in each other and children who have come into their lives.

Karen shares her story to encourage other young survivors that there are ways to navigate family-building challenges, still find joy in unexpected places, and embrace the blessings life has to offer.

Q: Did you or your medical team introduce the idea of fertility preservation?

A: When I was diagnosed with my first cancer over 30 years ago, fertility preservation was not clinically available to cancer patients.

In theory, I could have tried to have a baby after having breast cancer, but I had known a few women who gave birth after having breast cancer and died leaving behind infants or young children.

I got married at 34. I was diagnosed at age 36, so even in my support groups, younger women already had children.

At the time, my doctor was not supportive of my husband and I trying to have a baby after my breast cancer treatment. I understand that he erred on the side of caution.

We are at a better point in time now. We know more about breast cancer, and women are taking charge of their bodies. Depending on their diagnosis, women can have babies after breast cancer. Fertility issues are now discussed.

Having children is a basic human desire. I’ve been in support groups where women are undergoing chemo and having a hard time, and they’ve said, “I’m just getting through this for my kids.” That always made me think, “Wow, I’m missing out on the best thing there is.”

Q: At what point or how long after treatment, did you begin to think and talk about adoption?

We found a small agency that worked to place children from Brazil. The children we tried to adopt were ages 3 and 6. Because of our experience in Brazil where the children had severe attachment disorder, we decided to adopt from China, where the children to be adopted were 1 or 2 years old.

Q: Did you need to divulge that you were a cancer survivor as part of the adoption processes for Brazil and China?

This may not be the case with international adoptions today, as now some countries will not allow patients with certain long-term diseases (like cancer) to adopt their children, or they may require a patient to be in remission for a certain number of years, among other requirements. Adoption social workers are up to date on international adoption policies and are a good resource for navigating this.

Q: What did your adoption journeys from China look like?

My husband and I were ready to go fly with a group to China to get our baby.

But then I was diagnosed with colon cancer, and the agency said we couldn’t adopt because I was headed into treatment and surgery.

I missed a chemo treatment because I was so upset and crying hysterically after we found out the adoption was canceled.

We were already grieving the loss of not having birthed children. Then, we were grieving the loss of the Brazilian children. Now, we were told we couldn’t go through with the adoption from China.

My cancer was stage II. I recovered, and I was doing OK. We were told by the adoption agency to wait two years, so we did.

Two years later, we were ready. There was a group going to Guangzhou. We attended meetings on culture and learned about food. We were happy and looking forward to finally being parents. The agency was very supportive.

We were meeting other prospective parents and waiting for the photo of the baby to come in the mail. We had a name for her and clothes for her.

But weeks before traveling to China, I was diagnosed with ovarian cancer.

I knew in my heart when I was lying in the hospital following my total hysterectomy (all internal female parts removed) that we would not be able to adopt. I wouldn’t allow anyone to visit me. I was devastated.

My husband is a positive person. He told me we could try again.

But when we contacted the agency, they asked us to come to Boston. We met with the head of the agency. She was extremely sympathetic but told us I had too high a risk of more cancer, and that they could not allow me to be the mother to a child who had already lost a birth mother.

Q: How were able to let go of sadness and anger to reach a point of peace and acceptance in your life?

A: I was incredibly angry when I had my miscarriage and then five months later was diagnosed with cancer. I was angry when I was told I couldn’t have children.

I punched holes in the wall. I broke a set of dishes. I was full of rage.

At times, I was extremely sad.

It was hard to be with friends who had children. I was envious, yet these were my friends. We planned to have children, and I couldn’t imagine a life without children.

About 10 years ago when I was in my late 50s, I had some girlfriends over for dinner, and I said, “OK everybody, I’m going around the room, and I want you to answer honestly. If a baby came out of the sky and dropped into your lap, would you keep that baby? You would raise it. You would be the full-time mom.”

Somebody said, “Yes.” Someone else said, “No way. I already did it. I’ve changed too many diapers.”

I found myself saying, “No.” That was a real clue that I had crossed a threshold.

When I accepted that I would not have children, the anger just went away. I’m no longer angry. I do get sad sometimes because I am of the age when I might have become a grandmother.

When I was 36, it was different. I didn’t know anybody else in my situation who had a miscarriage, failed adoptions, and multiple cancers. I felt very alone.

I’ve met so many cancer survivors. I’ve been in so many support groups. I’ve lost so many friends. I’ve been in so many campaigns for cancer awareness. It all has made me realize that I’m not alone. Everybody has hard stuff in their life.

I see that everybody has problems. Whether they’ve lost a spouse, child, or parent: Life isn’t easy.

This helps with letting go of the anger and reaching acceptance.

Now, I am happy that I’m alive and able to enjoy others’ babies and children. When I get the chance to be with kids, I just love spending time with them.

Q: What did you do with the maternal instinct that you carried?

Spending time with them fills my heart with joy.

I also was a Girl Scout leader in my town for many years. As the Brownie leader, I made crafts with the girls and helped them learn life skills. We went camping. Working with them filled my heart. Being a Girl Scout leader was the best thing that could have happened to me.

Then I was diagnosed with breast cancer for a second time and had to go through treatment. Chemo was difficult, and being a Girl Scout leader was too much for me to handle. I had to stop. We didn’t focus on my cancer as the reason I left because we didn’t want to upset the girls.

I joined Saratoga Mentoring, a Big Brother/Big Sister-type organization, and asked to be matched with Caitlin, a 13-year-old girl from my Girl Scout troop. During her middle school years, I was very involved in Caitlin’s life.

Caitlin and I would cook at my house. We’d go to the movies. She would come over and help decorate my Christmas tree. Christmas was a hard time for me since I always imagined having a family. Caitlin is 27 now, and we still go to the beach every summer. We text and keep in touch on social media.

Q: What advice would you give to other colorectal cancer survivors who may not have had the option to preserve fertility or adopt?

Volunteer in your community. Look within your community for organizations where you can help children that may not have parents involved. Consider foster care or becoming a CASA volunteer.

Alternatively, spend time with other couples who don’t have children. We have quite a few friends who don’t have children.

We’ve realized that life goes on. We’ve discovered that life offers countless opportunities and fulfilling experiences even without parenthood.

Josh had been experiencing minor symptoms and sought out care on numerous occasions over a few years, but his family physician told him that he was “too young, too healthy” to have anything serious going on.

Upon returning from their honeymoon, Josh’s wife (then a medical resident) recommended that he see a GI and insist on a colonoscopy. Josh met with a GI who agreed to schedule a colonoscopy. They thought it would reveal Crohn’s disease or ulcerative colitis. Cancer never crossed their minds.

Married for just 39 days, Josh remembers waking up from his colonoscopy to his GI with tears streaming down his face and his wife crying, as he learned he had cancer.

Since his wife was on an oncology rotation, they worked quickly to schedule Josh for scans. They ran into a radiation oncologist colleague of his wife’s who immediately reviewed the scans and confirmed Josh had cancer.

Josh received a stage IIb rectal cancer diagnosis at age 31 in June 2013. Less than a year later, he received another devastating blow as he was told that the cancer metastasized to his liver.

From 2014 through 2020, Josh traveled from North Carolina to Memorial Sloan Kettering in New York where he underwent chemotherapy, radiation, surgeries, an HAI pump, and immunotherapy, for five recurrences. In April 2020, Josh received lifesaving living donor liver transplant at UPMC, after which he became cancer free.

Josh shares his story to encourage other young survivors to hold hope for the future – a future of family and life after colorectal cancer.

Q: Did you or your medical team introduce the idea of fertility preservation?

A: My medical team immediately brought up the subject of fertility preservation.

Because stage IIb colorectal cancer has a 92% chance for a cure and because of my age, my medical team wanted to aggressively attack the cancer, but at the same time, they sought to ensure that I had the option of building a family in the future.

I had a two-week window of opportunity to plan and preserve my fertility.

My medical team told me it would be best if I went to a sperm cryobank facility (which collects, stores, and freezes the sperm) before I began radiation and chemotherapy.

Q: What guidance did you receive about fertility preservation?

A: Either my wife or treatment team recommended the fertility preservation facility, which was located two-and-a-half hours away. We traveled there three times before I began treatment.

My wife and I knew we wanted children, and we initially planned to have biological children, so fertility preservation was important to us.

Q: Did you use IVF to build your family?

A: In 2014, we tried IVF twice, and unfortunately, we did not have success. Come to find out though, it wasn’t failing because of my cancer history. My wife and I wouldn’t have had success with IVF either way.

At the time and in the moment, we were both really disappointed because we wanted to build our family naturally.

But it just wasn’t meant to be. The more that we learned about colorectal cancer, genetics, and that our kids would be screened early because of potential risks, we saw it as a blessing in disguise. As we learned more, the fear of passing colorectal cancer on to a child and them potentially facing the risk and challenges that we had became increasingly real.

Going through the scans and the screenings was brutal for my wife and me. We couldn’t imagine watching a child go through that.

The genetics component is what led us to the adoption route. Ultimately, our goal was to become parents. My wife says, “We had to reassess our goals. Is our goal to be pregnant? Or is our goal to parent?” We decided our goal was to parent, which helped bring acceptance to other paths.

We received so much support from friends and family who were excited for us to become parents, and we are extremely fortunate for our amazing adoption experiences.

Q: What did your adoption journey look like?

A: We have finalized two domestic adoptions. Both were newborns. However, because the situations were unique, the stories are different.

It took us six months to learn about adoption processes before we were emotionally ready to commit to pursuing adoption. Our oldest daughter was born in 2016. Our youngest daughter was born in 2021.

With both adoptions, we used an adoption consultant. This is not an agency but a team that provides adoption-based education, helps navigate the home study process, and typically creates your family profile book. Many consultants also share adoption opportunities with their clients as well.

With our oldest, we were an active waiting family for two weeks before receiving the email that held the details for what would become our perfect match.

In the first two weeks, we had received a few opportunities, had applied to be presented to a mom pregnant with twins but withdrew our profile before being shown.

The next day, we received an email about a birth mom due in two months, basic prenatal history, and a beautiful picture of the birth mom.

My wife immediately knew this was our match. We stayed up all night finalizing our profile book and mailed it off the next morning. It was just one of those gut feelings.

We matched two weeks later and had an introduction call with birth mom, which lasted three hours. The connection was instant.

She asked us to be present at delivery, asked us to name her, and wanted all the pictures we had preparing for baby! She encouraged us to have a baby shower and invited us to meet in person and attend an ultrasound appointment. We both were present for delivery!

She wanted to bless a family – who couldn’t have a child – with a child. And that’s what she did. She wanted her child to have a better life than she was capable of giving her at the time.

With our youngest, we again used an adoption consultant. Our wait was a little longer. We were a waiting family for five months this time – still not long.

Using a consultant usually decreases wait times. We applied for maybe five to 10 opportunities, but each “no” just meant our perfect “yes” was coming.

We received a late-night email, which outlined a “healthy baby girl born two days prior” on a Sunday.

It was a simple “yes!”

We emailed over our request to present to the birth family and again, we just knew! Two days later, we received the call that we were chosen, and she was waiting states away for us to arrive so she could be discharged from the hospital. We immediately packed up and drove more than 12 hours to meet our baby.

We have open adoptions with both birth families. This was our personal preference after learning about all adoption types.

Q: Were there concerns or challenges related to colorectal cancer that affected the adoption process for you?

A: I had always wanted a family, and with the initial diagnosis, the fear that it may not happen was crushing. But my biggest fear was not being here to watch my children grow, especially to an age where they would remember me.

Q: All adoptions require a home study, which also comes with a physical. How did you approach this?

A: A home study requires a physical exam and usually asks if a person had specific diagnoses. If yes, then a physician statement is required. Ultimately, the systems that oversee and govern adoptions are trying to assure the child has the opportunity to be raised by healthy parents in a safe home, which is where the home study comes in.

It’s a somewhat frustrating process when it comes to the medical history because a “normal” life expectancy isn’t really guaranteed for anyone. But, that’s what the documentation needs to say in order to have an approved home study.

Having the support of our treatment team helped in creating a letter for our home study that minimized concerns for my overall health. We crafted this alongside them, disclosing the required details but also emphasizing my physical ability to parent and positive prognosis.

The home study document is not shared with birth mothers. Once home study approved, a document is created that shows you are approved to parent, and the courts require this to legally finalize an adoption.

Agencies have access to home study documents, but for domestic adoptions, if home study approved, they cannot deny you the option to work with them based on your medical history.

I’d caution anyone who receives negative feedback regarding your health history to find an agency or consultant who is supportive. We were not asked once home study approved.

You do not need to disclose your health history to a birth family. That will be a personal decision you need to make during a match/preplacement, post-placement, or at all.

Q: Did you ever feel frustrated or hopeless during your adoption journey?

A: Both adoption processes moved very quickly, so we didn’t feel frustrated or hopeless.

However, at the hospital following the birth for our oldest daughter was the most stressful time because we didn’t feel welcome at the hospital. The birth mom was great. But the hospital environment was not positive. We’ve talked with other people who have had that same experience and feeling at the hospital as we did.

The birth mother was extremely helpful and responsive, and she really made the adoption go smoothly.

With our younger daughter, we were matched very quickly.

We didn’t have the same interactions with the birth mother as we did for our first daughter, because we were matched after she was born. The hospital experience was smoother and less stressful. Ironically, we were in the same hospital and the same postpartum room as we were with our older daughter.

Emotionally, the adoption process can be nerve-wracking, just like a pregnancy. You worry about the baby. You worry about birth mama and her emotional and physical well-being. You worry about an adoption disruption. And you have all the same worries any new parent has! But once you’ve met your baby, it’s immediate love and peace.

Q: Were you concerned that an absent biological connection might affect bonding issues?

A: Any concerns I had about not being able to connect because my girls are not genetically mine were fleeting. My daughters are my daughters.

Our older daughter looks just like me, and her personality is a blend of both my wife’s and my personalities.

Our younger daughter is a different race, and her facial expressions are all mine. Her personality is 100% my wife’s personality.

The love and bond my wife and I have with our daughters is unbreakable.

My two greatest roles in life are that of husband and father.

Q: In hindsight, is there anything you wish you had done differently?

A: In retrospect, I wish my daughters could have been closer in age. My older daughter wanted a sister, but I also wish we had a little more time for her to warm up to the idea.

As we drove to meet our younger daughter, we had to pick up diapers, a car seat, and clothes. We had nothing for her because we were matched so quickly.

With our older daughter we had time to prepare and paint her nursery. For our younger daughter, we had no time. It was a completely different scenario.

There was literally no time to shift that spotlight from our older daughter to her younger sister who required so much time and attention because that’s what babies require.

Q: What are your hopes and dreams?

A: I just want to see my girls grow up.

I hope from a society and patient standpoint that treatments continue to evolve, with more ways to help young people beat this disease.

I would highly recommend any patient considering growing a family through adoption do it because you don’t know what treatments will come along.

Because of a transplant four years ago, I’ll be four years with no evidence of disease, and I am looking forward to watching both my girls grow up.

I feel extremely thankful, fortunate, and blessed.

Q: Are there resources available for family-building post-cancer?

A: My wife and I weren’t aware of any resources to help with family-building, but there are a few programs and resources available to help. Some programs (such as the Expect Miracles Foundation SAMFund Family Building Grant) accept applications only within a brief window.

• Alliance for Fertility Preservation
• FORCE
• Livestrong Fertility

In 2011 at age 24, Ashley Flynn was diagnosed with stage III rectal cancer. For three years prior to her diagnosis, she had rectal bleeding and consulted multiple providers to determine the cause and solution.

Each of these providers suggested constipation, fissures, or hemorrhoids. Ashley tried creams and recommended remedies, none of which provided relief or resolved the bleeding.

After moving to a new city and establishing care with a new physician, Ashley’s doctor suggested she try MiraLAX® for two weeks. When the bleeding continued, Ashley’s doctor recommended a colonoscopy, where doctors discovered a large tumor in her rectum.

Her health care team recommended fertility preservation immediately, which Ashley underwent before beginning treatment. Today, she is in remission.

Ashley shares her fertility preservation experience to help other young, diagnosed patients have hope for parenthood after a colorectal cancer diagnosis.

Q: Did you or your medical team introduce the idea of fertility preservation?

A: My medical team brought up the topic of fertility preservation to me. At the time, it was another layer of confusion when all I wanted to do was survive my rectal cancer diagnosis.

When I was diagnosed, I was dating the man who became my husband. At the time, we didn’t have discussions about fertility preservation or family building.

It didn’t even cross my mind to preserve my fertility because I was in the survival mode of, “Let’s get treatment started tomorrow.” I didn’t want to wait.

I didn’t think of future children at the time, but I’m glad my medical team talked about my future and helped me plan for it.

Q: What guidance did you receive about fertility preservation?

A: I was told I could meet the fertility team quickly following my diagnosis. Because my family didn’t live close by, a friend went with me to my fertility preservation consulting appointment. I thought it would be good to have someone go with me to keep me company.

I wasn’t expecting the appointment to be complex, but it was. Even with my experience as a nurse and extensive medical knowledge, it was unexpectedly challenging. I felt like my world was turned upside down.

The specialist there made the waters even more muddy because I was this 24-year-old, newly diagnosed cancer patient, and they gave me what felt like too many options. I didn’t know what was best for me, and I wanted them to tell me what was best for me.

I was given some options:

• Freezing my eggs
• Removing an entire ovary, which at the time was experimental, yet I felt pushed hard to go in this direction
• I left that meeting confused and tearful. I didn’t know what to do. I also didn’t want to delay treatment.

That sounded like the best option, so he referred me to a gynecologist/oncologist who performed that surgery.

Under normal circumstances, I would have had a surgery consult where I met the surgeon, had the surgery explained, and then had the opportunity to ask questions. We didn’t have time for any of that.

In the span of 20 days, I was diagnosed, had ovarian transposition surgery, had a port placement, and began chemo.

Q: What led you to IVF to start your family?

A: First, I want to caution people: Never go to appointments by yourself. It’s always good to have someone else to listen and ask questions.

My IVF story is interesting.

While I was in treatment, I had always thought I would be able to have kids naturally because the ovarian transposition would be reversed after I completed treatment.

That was not the case.

My treatment ended in August 2012. My husband and I got married in June 2015, and we began discussions with our doctor about six months later, since we knew we needed IVF to start our family.

The first time I took the medications to stimulate my ovaries, whenever an ultrasound was completed to monitor those ovaries for follicle growth, they could only find my right ovary. The right ovary wasn’t having the best response to the to the medications. There weren’t a lot of follicles available.

They attempted the egg retrieval anyway. At this point, the doctors thought they could still obtain my eggs vaginally.

The doctor went in to retrieve my eggs, and she said it felt like she was taking the needle and poking it through a wall.

My ovary was that hard.

After that procedure, I had the worst abdominal pain that I’ve ever felt in my life, and I ended up going to the emergency room.

My doctor brought me back in the next day for an ultrasound, and I remember when they were doing the ultrasound, my husband asked, “What was that?”

The radiology tech responded, “That’s her kidney.”

My husband responded, “No, that looks like an ovary.” The tech left the room to get the doctor.

Because we were going through this process and I was getting a lot of ultrasounds, my husband and I knew what an ovary with lots of follicles looks like. The doctor came in and said, “Yes. That is your ovary in your back.”

We had to go through the entire IVF process again because those eggs that they obtained from the rock-hard ovary did not grow. The doctors think that the right ovary had become detached from the oblique muscle and fell into the radiation field and was irradiated.

For the second egg retrieval, the doctor went in through my left side and took eggs from my left ovary. We ended up with one viable embryo. It only takes one embryo to make a baby.

Q. What has your IVF journey looked like?

A: My journey felt and looked like this:

• Doctors took my one embryo and placed it in the uterus.
• The embryo has to “stick” to become pregnant. This happened for me.
• The next phase is being sure hormone levels keep rising. Doctors continually monitored my hormones.
• Meanwhile, there’s an ultrasound to make sure there’s a heartbeat.
• There was always a “next phase.” There was always another step.

We knew we wanted more kids, but we had no more embryos, so we had to do the entire egg retrieval process again a few years later. From that egg retrieval, we got two embryos. The first embryo is my little boy Luke who is 4 now. He was born in July 2019.

We had one embryo left. In September 2021, we put that embryo in, and I miscarried.

Q: Did you ever feel frustrated or hopeless during your IVF journeys?

I think when you’re going through your IVF journey, people think, “Oh, that girl has 10 eggs. That’s 10 kids that she could have.”

IVF is considered “successful” when you get pregnant with the embryo.

But that wasn’t my measure of success because that was not the end of my journey. I always said that I would never be happy until I had a baby in my arms.

Q: In hindsight, is there anything that you wish you could have done differently?

I wish I had frozen my eggs, because in hindsight, my ovaries were affected by chemotherapy and radiation. Since my ovary had fallen into the radiation field, it was no longer functioning. This left me with one ovary. Women are born with all the eggs they will ever have in their lifetime. Although I still had one functioning ovary, in my opinion, it would have been beneficial to have eggs that had not received chemotherapy. This could have been done if I had frozen my eggs prior to receiving chemotherapy.

We struggled getting quality embryos. It took three egg retrievals to get three genetically normal embryos, two of which were successful. In an ideal world, a person would have one egg retrieval, get multiple eggs, and be able to use those to create multiple embryos. This is why I believe it would have been helpful to have an egg retrieval prior to receiving chemotherapy.

Q: Did your medical team discuss long-term effects of treatment with you?

I was not advised that radiation would impact my ability to carry, but my colorectal surgeon was adamant that I did not deliver vaginally. Therefore, we planned for me to have a cesarean section (C-section). Doctors thought that the increased pressure from childbirth could rupture my previous surgical site in my rectum leading to life-long incontinence. I also believe there is a connection between radiation treatment and my sons coming before the planned C-section date.

Otherwise, I don’t have a lot of long-term side effects. My biggest issue is pelvic floor dysfunction from surgery. Of course, I do have some anxiety surrounding secondary cancer or relapse.

I recently reached out to a radiation oncologist friend and explained that I was never given my radiation doses or told what my long-term effects could be.

She went through details of my radiation with me. She explained that my uterus and bladder were directly in the radiation field, and they were the organs most affected.

Q: Did insurance cover IVF?

When we’re talking about IVF treatments, the money goes pretty quickly.

Finding a silver lining in the situation, Livestrong paid for medications, such as the injectables needed stimulate the ovaries. Medications to stimulate ovaries consisted of multiple injections, estrogen patches, estrogen tablets, and progesterone tablets. These medications were continuously monitored, measured, and adjusted depending on my lab results and follicle size/quantity. Livestrong has certain medications they will pay for, and our reproductive endocrinologist had other ones they preferred to use. Though Livestrong didn’t pay for all my medications, they paid for some.

I kept a running total of how much IVF cost us, which was about $17,000 to $20,000 out of pocket per kid.

As far as insurance and delivering babies: My medical team recommended planned C-sections. My health insurance would not approve a C-section until I reached 38 weeks, but neither of my pregnancies made it to my scheduled dates. Both were emergency C-sections.

I had Sam at 37 weeks. I went into labor with Luke at 35 weeks and six days. Since I delivered Luke after midnight, technically I delivered at 36 weeks (about 8 and a half months).

Q: What advice would you give to other colorectal cancer survivors who are considering IVF and carrying their own children after treatment?

Looking back, my health and saving my life was a priority. But it’s important to think about and hope for life after cancer.

I think of fertility preservation procedures as insurance plans: They are there if you need them, and hopefully, you’ll never need them. But it is always good to have a backup plan.

Q: What are your hopes and dreams for the future?

A: I hope we find out why so many young adults and adolescents are being diagnosed with colorectal cancer so young

Currently I’m on the fertility preservation team at the children’s hospital in my city, and there are fertility preservation options for males and females as young as 6 months old.

My hope is to raise happy, healthy little boys, who unfortunately must have their first colonoscopy at age 14, 10 years before I was diagnosed.

While I haven’t broken that news to them yet, I believe that knowledge is power, I’m going to do all I can to make sure that they don’t have to go through what I did.

Q: Are there resources available for family-building post-cancer?

A: There are a few programs and resources available to help. Some programs (such as the Expect Miracles Foundation SAMFund Family Building Grant) accept applications only within a brief window.

• Alliance for Fertility Preservation
• SAMFund
• FORCE