Survivors of childhood cancer are at risk for disrupted psychosocial development, further complicated by treatment-induced medical late effects in adulthood, such as infertility (Brinkman et al., 2018; Hudson et al., 2013). Over half of adult male cancer survivors experience fertility issues (Hudson et al., 2013), and fertility risk and fertility preservation (FP) counseling are recommended before cancer treatment (Mulder et al., 2021a). Despite this, a small proportion of male adolescents attempt to bank sperm (Klosky et al., 2017; Saraf et al., 2018).