Receiving a cancer diagnosis can be devastating, especially when you’re of reproductive age and have yet to start a family. Cancer treatments such as chemotherapy and radiation can damage the ovaries, leading to infertility and early menopause.

For women who are pregnant, breast cancer can mean complicated and often difficult decisions during a time that should be joyous and fulfilling.

Understanding the risks

Breast cancer is the most common cancer diagnosed in women during pregnancy, with an incidence of approximately 1 in every 3,000 women. The biggest risk factors for developing breast cancer during pregnancy include:.

Being over the age of 35
A family history of breast cancer
Previous breast cancer diagnosis or atypical hyperplasia
Exposure to high doses of radiation, such as for cancer treatment or diagnostic imaging

When it comes to preserving your fertility during breast cancer treatment, it’s important to work closely with your medical team to develop a treatment plan that prioritizes both your health and your reproductive goals.

Preserving fertility before treatment

Chemotherapy and radiation can damage the ovaries and may lead to permanent infertility, especially in women under the age of 40. If you’re planning to undergo cancer treatment that may harm your fertility, there are a few options to consider:.

Egg freezing: This involves stimulating the ovaries with hormones to produce multiple eggs, which are then collected and frozen for future use. This method is typically recommended for women who have time to undergo a cycle of egg freezing before starting cancer treatment.
Ovarian tissue freezing: This involves removing a piece of ovarian tissue prior to cancer treatment, which can later be thawed and transplanted back into the body. This method may be preferred for women who don’t have time to undergo an egg-freezing cycle or who are at high risk for infertility.

Protecting fertility during treatment

If you’re already undergoing treatment and are concerned about preserving your fertility, there are a few options to discuss with your medical team:.

Ovarian suppression: This involves taking medications to suppress ovarian function during chemotherapy. This may help to protect the ovaries from damage and reduce the risk of infertility.
Shielding: In some cases, the ovaries can be shielded during radiation therapy to help reduce exposure to the treatment.

Breastfeeding and breast cancer

For women who are pregnant or recently gave birth, breastfeeding is an important consideration when it comes to breast cancer treatment.

While many cancer treatments are safe to use while breastfeeding, some may need to be avoided or delayed in order to protect both the mother and the infant.

It’s important to discuss your breastfeeding goals with your medical team and work together to create a treatment plan that is safe and effective for both you and your baby.

Making informed decisions

Dealing with breast cancer during pregnancy or while trying to conceive can be overwhelming and emotional.

It’s important to take the time to fully understand your options and make informed decisions that prioritize both your health and your fertility.

Working with a team of medical professionals who are experienced in treating breast cancer during pregnancy or fertility preservation can help ensure that you receive the best possible care and support during this challenging time.

Conclusion

Receiving a breast cancer diagnosis while pregnant or trying to conceive can be incredibly difficult, both emotionally and physically.

By understanding the risks and exploring your options for fertility preservation, you can take steps to protect your reproductive health while also receiving the treatment you need to overcome cancer.

Remember, you are not alone. There are many resources available to help you navigate this challenging time, from support groups to fertility preservation specialists.

With the right care and support, you can overcome breast cancer and achieve your dreams of starting or growing your family.