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-Background: Assess unplanned pregnancies during cancer diagnosis and treatment. -Methods: Retrospective review of patients who became pregnant during cancer diagnosis or cancer treatment. The prospective European registration study of INCIP was used. -Conclusion: The results of this study show that the lack of contraception - and not failure of contraception - was the mean reason of unplanned pregnancy during cancer diagnosis and treatment. We propose that all young women diagnosed with cancer should have an appointment with a gynaecologist to discuss both fertility preservation and contraception before start of treatment. This demands education of oncology teams and awareness.