Among the female population, breast cancer is the most common malignant tumor worldwide. It is estimated, according to the world health organization, that one in eight women has or will develop this malignant tumor at some point in their lives.
Among other figures, an increase in this pathology has been observed in recent years, including in women of early ages, taking into consideration that previously, this diagnosis was not common in young women. And which currently causes fertility problems
Breast cancer and fertility
Fertility, which is the concept that refers to the ability to conceive and have a child, through sexual activity and your ability to successfully carry it during pregnancy.
According to studies, 80% of women diagnosed with some type of early stage breast cancer do not require any chemotherapy treatment after surgery to treat the tumor. Therefore, the main response and defense against this frequent tumor is its early detection.
The reasonable time, which is recommended for pregnancy after treatment for breast cancer, depends on the state of the disease, the evolution and the results obtained by the patient and her age. It is
recommended that the patient not attempt a pregnancy in an interval less than 8 months after treatment, it is recommended that it be at least 1 year and a half, after treatment. And it is preferable that the obstetric control be carried out in a timely and professional manner.
What can cause the risk of affecting or damaging my sterility?
Some treatments may affect a woman's ability to have children a little, for example, chemotherapies, which have a reputation for damaging the ovaries, for many of the women who attend for a diagnosis of breast cancer.
Nowadays it is mandatory for the oncologist to warn a woman diagnosed with breast cancer and who will undergo hormonal therapy / chemotherapy, about the complications or irreversible ovarian damage. In this way, the patient would consult what options she has to preserve her fertility.
The signs that you should observe when taking care of your body is to touch and visualize your chest to certify that you do not find masses or changes in the breasts that could become a cause for concern.
How is the fertility of a woman with breast cancer affected?
During breast cancer treatments, women and their fertility may be affected by the following treatments, such as:
- Radiation: in the pelvic area, which can be directed close to the ovaries, causing damage and affecting their function. Since the ovaries can absorb high doses of radiation, if the absorbed dose is high, there is a probability of infertility or early menopause, it can also cause scarring, which weakens the blood flow to the uterus and reduces its natural flexibility for the gestation phases.
- Chemotherapies: Chemotherapies can damage or lead to a loss of important hormones which can affect fertility; as well as causing a state of menopause in an early and premature age.
What are the types of breast cancer?
There are at least 2 subtypes, with peculiar characteristics where each one has a different type of treatment. This classification is important since it allows the approach to this disease in a complete way, to avoid inconveniences and avoid recommending or receiving unnecessary treatments.
- Luminales type A: Generally has a good prognosis. It does not require chemotherapy, it is of low histological grade, it has a low proliferation index.
- Luminales type B: They are fast growing tumors. They have receptors for estrogens and progesterone, require hormonal therapies, surgical treatments, chemotherapies or radiotherapies. As well as the use of specific drugs to treat her-2
- Her2: They do not have receptors for estrogens or progesterone, it is an aggressive subtype, not susceptible to hormonal treatments, its growth can be rapid.
- Triple Negative: They do not have estrogen or progesterone receptors, they are not susceptible to hormonal therapies. It usually appears in young ladies and is related to some mutations.
Knowing these classifications, it is also possible to distinguish between aggressive and milder tumors, helping to receive a more specific treatment.
You can get pregnant and affect the baby.
Many women want and consult very frequently, if it is possible to have a baby after breast cancer treatment, and the answer is yes. However, there must be certain rules that allow the healthy recovery of the mother and the correct development of the fetus.
- It is important to avoid getting pregnant during these treatments.
- Chemotherapy drugs can harm your baby
- They can cause birth defects and other harm to the baby
- Some medications lead to miscarriages.
- The use of contraceptives is recommended since there is a chance that they will remain fertile.
So if there are chances of getting pregnant after breast cancer treatment, and if the oncologist's response is negative, there are different efficient methods to preserve your ovaries or request reproductive assistance. Whatever the reason and desire for having a child, the essential thing would be that you consult with your oncologist to assess the status of your case individually.