n SURVIVORSHIP MONITORING All cancer survivors should have yearly visits that monitor height, weight, and pubertal development. In addition, male survivors may require blood tests to evaluate testos- terone and other hormone levels responsible for sexual development. If a child has low testosterone or any other abnormal hormones, he will be referred to a hormone specialist called an endocrinologist. Other tests should include a bone density test to determine how healthy the child’s bones are. If any hormone problems or bone problems are found, the survivor may need to be referred to an endocrinologist who can do further examinations and tests and find the right treatment. Cancer survivors should have lifelong healthcare visits including screening for reproductive problems and other late effects of cancer. Visiting a survivor clinic yearly can help survivors have the tests and monitoring they need to screen for late effects, including problems with puberty and fertility.
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