Issues related to fertility and pregnancy Highly relevant for young patients with breast cancer (≤ 40 years). “Pregnancy-related cancers and after pregnancy” Breast Cancer Both are extremely relevant topics in India, where we often have women in their 30s and 40s developing breast cancer,” said Dr Neeti Raizada, Director, Medical Oncology and Hemato-Oncology, Fortis Group of Hospitals, Richmond Road, Bangalore. it is said.
According to the doctor, pregnancy-related breast cancer (BC) is diagnosed during pregnancy and within a year postpartum. “About 3,000 to 10,000 pregnancies are complicated with BC. When we evaluate cancer in pregnancy, both maternal and fetal health have to be taken into account. Cancer is similar to the cancer seen in non-pregnant women, but is more invasive because there is a delay in diagnosis due to concurrent breast changes,” she explains.
What does the treatment look like?
The doctor says the intention is to deliver “fetal-safe treatment” until the patient can safely give birth to a baby. “Surgery can be done and chemotherapy can be given in the second and third trimesters of pregnancy. But we avoid radiation, hormones, and scans, which can harm the fetus,” she says.
pregnancy after breast cancer
After pregnancy according to Dr Raizada Breast Cancer It is possible and a part of cancer survival in young women. “The results provide reassuring evidence on the safety of pregnancies in BC survivors. Patients’ desire for pregnancy should always be considered as an important component of their survival care plan.”
Doctors say that BC survivors may be less likely than the general population due to different treatments and disease effects. However, there is no increase in congenital abnormalities and maternal protection is not affected.
“The general practice is that post-pregnancy BC treatment may be delayed by about 2 years in stages I-II. For stage 3, it is recommended to postpone treatment for approximately 5 years and often avoid stage 4. It is wise to take an individualized approach taking into account parameters including patient age, risk of recurrence, adjuvant therapy and ovarian reserve, ”says the expert.
breast cancer and infertility
infertility May arise as a result of treatment of oncological conditions, doctors say. She adds that chemotherapy can affect fertility by drug or dose-related effects and age-dependent effects. “Radiation to the pelvis (dose-dependent) can affect the ovaries and compromise fertility. Surgery to the pelvis may also involve fertility.”
According to her, recommended methods for preserving fertility in women before starting anti-cancer therapy include:
* Embryo cryopreservation (well established treatment)
* Ovarian tissue protection
* GnRH analogs to suppress the ovarian cycle, thus inducing temporary menopause
* Ovarian transposition (oophoropexy)
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