Receive the diagnosis of cancer for a young girl can be a devastating experience. Immediately, a deluge of urgent decisions arise for medical patients and their treatment. Is surgery necessary? What chemotherapy or radiation? With all the immediate decisions to be made, all Office visits, images studies and blood tests that are carried out routinely, essential questions about the possible effects of the treatment of cancer in the future and quality of life of the young unfortunately are frequently ignored.
Let us hope that the woman receiving the diagnosis finds its way in the care of an oncologist (cancer specialist) and oncologist willing to discuss all options with regard to the treatment, as well as possible side effects of this treatment — including the impact on the future fertility of women. In descending order of frequency, include the diagnosis of most common cancer for women under 40: breast cancer, melanoma, cervical cancer, leukemia, non-Hodgkin Lymphoma, lymphoma, and uterine cancer. Especially if it discovers in its early stages, these cancers are associated with the statistics of response and survival of good treatment. However, the necessary treatment options necessary to cure many of these malignancies involve therapies that have a significant impact on fertility.
Surgery to remove the ovaries, uterus, or cervix obviously leads to problems with fertility. However, it is essential that the surgeon treatment analyse options for surgical management of fertility. A woman should be advised properly and not their cancer in particular can be treated with one of these options for savers of fertility, and how (if) this might affect his chance of relapse or recurrence. True consent means that all options are presented, the risks and benefits have been thoroughly reviewed, and all women's issues have been addressed. The impact of the systemic chemotherapy for the treatment of cancer is often under appreciated. Many of the most used chemotherapy agents can lead to a condition called ovarian failure associated with chemotherapy. The risk of ovarian failure after chemotherapy depends on the patient's age (older women have a higher risk of failure), the specific agents used (alkylating agents can be particularly adverse,) and the total administered dose (lead cycles with a greater risk of long-term impact).
Radiation can also affect future fertility, new varying depending on the patient's age, the location of the radiated field and the total dose received. Surgical procedures simple as picking up the ovaries out of the field of radiation (known as oophoropexy), can significantly affect beneficial rate of ovarian failure induced by radiation. Even if the cancer itself can not be treated surgically, women should be reported oophoropexy option and which refers to a gynecological oncologist who can perform this procedure.
Embryos, ova and Cryopreservation of ovarian tissue as well as the use of GnRH analog treatment simultaneous with chemotherapy or radiation is options for young women who receive treatment for cancer. Make a reference to an endocrinologist reproductive who will be able to fully address their respective risks, benefits, measures of outcome and convenience for every woman considering future fertility.
An approach to interdisciplinary and often integrated, with excellent communication between a woman and their various radiation is essential to successfully address all these questions and concerns. As frightening as it may be a diagnosis of cancer, young women deserve the in-depth examination of all the options available to them, with special attention to its ability to preserve fertility if they so wish. You can and it must be the hope on the horizon for young women with cancer.
Southern California reproductive Center was established in 1988. At that time she has completed more than 7 dozens of studies with results reported in revised places. Currently has 11 more research studies in process. SCRC takes approximately to 900 invitro fertilization cases each year. During the past three years the SCRC has maintained the best fertility clinic in Los Angeles Metro area. SCRC has an affiliated Surgery Center, as well as the laboratory of reproduction in the site. The SCRC infertility experts also training to other fertility specialists. For example, the young doctors seeking a fellowship in reproductive endocrinology revolve through the practice and are trained by the SCRC physicians, are also affiliated with the Center Cedars-Sinai Medical and are in the Faculty of medicine at UCLA.
Tidak ada komentar:
Posting Komentar