Breast cancer is the most prevalent malignancy amongst women and approximately 13% of newly diagnosed breast cancer patients are diagnosed between the ages 20-34 [1]. At this age group women are at the peak of their reproductive years, and many have not yet completed family planning. Moreover the age at first birth has steadily increasing in developed nations [2] and more than a quarter of the deliveries are in women above the age of 35. Despite repeated reports in the literature of a worse prognosis in young breast cancer patients, newer treatments have none-the-less improved the outcome amongst young women and for some early stage disease subtypes the outcome is similar to that of older women [3,4]. These increasing numbers of breast cancer survivors are concerned with post-cancer quality of life issues, such as the ability to have children after completing treatment [5-6], hence it is critical to discuss fertility preservation and the ability to conceive when breast cancer is diagnosed [7-9].