Looking at these statistics, it is clear that breast cancer treatment today has to deal with not only treatment of the cancer and survival of these young women but also quality of life which for these young women in their reproductive age include fertility issues.
Recent surveys indicate that the majority of breast cancer survivors who have no children at the time of diagnosis would like to have them in the future. Surveys also indicate that survivors who already have children would like to have more. Yet, many report that they did not receive adequate information about their future fertility and how to best cancer hospital in hyderabad preserve it at the time of their cancer diagnosis and when they were making decisions about their treatment.
Before we can discuss how to preserve fertility in these breast cancer survivors, we need to learn about what effects breast cancer treatments have on fertility.
Chemotherapy drugs work by targeting rapidly dividing cells. These rapidly dividing cells not only include cancer cells but also normal cells such as those in the sperm, egg and/or hormone producing cells that are important in reproduction. Often, these chemotherapy drugs render a breast cancer patient infertile or leave her with decreased overall ovarian reserve (decreased egg that can reproduce).
Radiation used in breast cancer treatment also target rapidly dividing cells but is usually limited to tissues that surround the breast. This means that the radiation used to treat breast cancer usually does not affect the ovaries which are located in the pelvis. However, for those young women who receive radiation to these abdominal/pelvic region for other cancers can damage the uterus and ovaries.
Males who receive radiation for a cancer in these regions can suffer damage to their testicles causing infertility. Radiation to certain areas of brain can also result in infertility by affecting cells that regulate hormone production which is necessary for reproduction.
Surgery to remove the reproductive organs can obviously render a person infertile.
However, there are options in preserving fertility for these patients. The feasibility, safety and suitability of different types of fertility preservations option depend on the patient’s age, type of cancer and treatment and whether or not the patient has a significant other.
Other factors that are important in preserving fertility also include the cost of the procedure, availability of the procedure and success rate or the procedure. Thus, you need to talk to your doctor about what suits you the best. This fertility preservation is highly person and needs to be individualized to ensure best result.