Ten Important Facts That You Should Know About Kids After Cancer
Kids After Cancer What Cancer Survivors Should Know About Fertility Options. The first step is to consider future plans and develop a fertility .
As cancers are detected and treated earlier, cancer patients are increasingly surviving. And continuing to live healthy and relatively normal lives. As such, it has become more important than ever to talk about post-cancer fertility for those who want to start a family. For some patients it can be difficult to imagine fertility after cancer. Especially when they are told that their diagnosis could affect them or even prevent them from having children in the future.
Although it is common to believe that there is not enough time to begin conservation before treatment, my goal is to help patients and physicians to engage in fertility preservation discussion. By dispelling any myth and leaving more time to make decisions, conception after cancer can become an easier discussion. Here are some proactive methods to discover what fertility planning means to you and your loved ones.
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Make fertility preservation a priority
Talking about cancer is difficult. Even after the American Society of Clinical Oncology ordered people of childbearing age in 2006 to receive advice on fertility options before treatment, only about 50% in 2012 would remember seeing their doctor.
However, physicians have worked to combine the fields of oncology and reproductive research to create an oncofertility initiative. As more and more patients are aware of their reproductive choices and are starting to think about their fertility,
my colleagues at Ohio State University’s Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J Solove Research Institute expects to address issues of sex and post-cancer quality of life at the time of diagnosis.
For women who may have had breast cancer, bones and soft tissue, brain or blood and who have undergone radiotherapy or chemotherapy, know about egg preservation or have a fertility plan before the start of treatment is an important step.
for the future design. Of course, these conversations should also describe the costs of storage and treatment, important factors that can affect family planning. While oncologists work to provide access to fertility treatments after cancer,
The first step is to prioritize future plans and develop a fertility plan accordingly. With doctors and patients on the same page, oncofertility can help you determine the right path at the beginning of the diagnosis, rather than as a last-minute idea.
Know your options
When you start building the right fertility plan, it’s important to know all your options. For women, standard options include freezing eggs and embryos, which involves stimulating the ovaries to produce eggs for extraction or fertilization.
Once the treatments have been stopped and the patient has been given pregnancy clearance, doctors can extract the eggs or embryos from memory. It is also possible to remove and freeze a woman’s ovary before starting treatment. Once the ovary thawed, it can be reinserted into the patient’s body.
With more than 130 births resulting from this method, it may soon become another standard fertilizer practice.
Men also have a variety of fertilization options. For patients with testicular cancer, blood, bone and prostate cancer, treatments can cause sexual dysfunction, which means that the sperm bank is the most common method of preservation. Ongoing studies even try to preserve testicular tissue as a reproductive option for men.
Start speaking early
There is a lot of discussion around the initial diagnosis of cancer and some may seem more urgent than others. Regardless of age or sex, it is imperative that patients and physicians engage in a dialogue about different possibilities for preserving fertility, and the sooner the better.
I often recommend that my patients and their loved ones get together to discuss risks and benefits within 24 to 48 hours of diagnosis, giving them more time to choose the right lifestyle option.
With these methods, managing your fertility does not have to be a discouraging conversation. It can be a collaborative effort to address future concerns.
Options for women
Women are born with a fixed amount of eggs in their ovaries, called ovarian reserve. This reserve decreases naturally with the aging of the woman. But some types of chemotherapy can reduce it even more.
Having fewer eggs can make pregnancy difficult. And low ovarian reserve can lead to early menopause, which means no eggs are left behind. Your doctor can evaluate your ovarian reserve with blood tests and an ultrasound.
If you have a risk of low ovarian reserve or are at risk of having ovarian reserve due to a cancer treatment, a fertility specialist can explain the options to preserve your fertility or improve your chances of to become pregnant. These may include the following:
In vitro fertilization (IVF). It is a common form of assisted procreation. IVF uses specific drugs to stimulate the ovaries and make eggs. These eggs are collected and fertilized with sperm in the laboratory. If this succeeds, the egg will become an embryo. Later, the embryo will return to the woman’s uterus to become a baby.
Donor eggs. A woman can store her eggs before treatment. Doing this is a way to preserve fertility. If a woman has not stored her eggs before starting treatment, she can use donor eggs.
The donor’s eggs come from another woman. They can be used to get pregnant when a woman’s ovaries are out of eggs.
The donor’s eggs are fertilized in a laboratory with sperm. Sperm can come from the woman’s partner or a donor. Fertilized eggs, called embryos, are placed in the uterus of the woman who wants a child.
The uterus of a woman must be in good health to become pregnant and carry her pregnancy to term. You will have to take hormones before and after receiving the embryos.
Donor eggs allow the child to carry the genes of at least one parent. Egg donors can be:
- Family members
- The friends
- Anonymous Donors
- Donors known to an agency
- Before giving eggs, all donors are assessed for:
- Medical conditions
- Potential genetic diseases
- Psychological problems
Embryos of donors. Similar to the preservation of eggs before treatment, a woman can preserve the embryos before treatment. Treatment of infertility can lead to additional embryos. When this happens, couples can donate their embryos. The process is similar to egg donation. The donated embryos are placed in the uterus of the woman who wants a child.
A child born from a given embryo will not carry the genes of parents who have chosen a donor embryo. But the procedure allows a woman to experience a pregnancy. This is also called embryo adoption.
Surrogacy and gestation carriers.
Sometimes a woman may not be able to give birth to a child. For some women, being pregnant can be dangerous. In such situations, wearing another woman during pregnancy may be an option.
Subrogation Subrogation involves a woman who will carry the baby during pregnancy. The woman carrying the baby is called a surrogate mother. The sperm of the man who will be the biological father of the child is inserted into the cervix or uterus of the surrogate mother. This process is called artificial insemination. The child will carry the genes of the woman.
Gestational carrier. A gestational carrier is a woman who will carry an egg embryo of another woman and the sperm of her partner. The child will not carry the genes of the gestational carrier.
The laws of subrogation and the gestational carrier are different in each state. It is important to consult a lawyer if you choose this way to have a baby.
Donor Sperm A man can store his sperm before treatment. Doing this is a way to preserve fertility. If a man has not stored his sperm before starting treatment, he can use the sperm of a donor.
The sperm of a donor is delivered to a sperm bank by another healthy man. The donor is usually anonymous. But sperm banks usually record the physical characteristics of the donor and examine them for infectious diseases. The child will carry the genes of the sperm donor.
Extraction of testicular sperm. A man may not have sperm in his sperm after cancer treatment. But you can still have healthy sperm in your testicles. During a testicular sperm extraction, the doctor removes small pieces of testicular tissue. Any healthy sperm cell found in this tissue can be
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When a couple or a person adopts a child, they are the permanent and legal parents of the adopted child. Most adoption agencies allow cancer survivors to adopt. Some agencies may require a letter from the health care provider stating that you are in good health. Other organisms may need some time after a cancer treatment before you can adopt.
Adoption options include:
National or international adoption. Domestic adoption is when you adopt a child from the country where you live. Domestic adoption may include newborns or young children and school-aged children in foster care.
International adoption is when you adopt a child from a country where you do not live. Most international adoptions involve young children or school-aged children.
Different countries have different restrictions for people who want to adopt. These can include medical history, income requirements, age or marital status. If adoption interests you, talk to a social worker for more information.
Adoption open or closed. In open adoptions, birth parents and adoptive parents communicate. This is also called a fully disclosed adoption. In a closed adoption, details about birth parents and adoptive parents remain confidential. Closed adoptions are rare.
Agency or independent adoption. Public adoption agencies are responsible for a country, state or locality. Agencies are licensed and must comply with strict laws and laws. Independent adoptions are managed by an adoption lawyer or facilitator rather than an agency.
Questions to ask your health team.
Remember to ask the members of your health care team the following questions about having a baby:
- How can I tell if I can have a baby?
- If I can not have a baby, what are my options for being a father?
- Has cancer treatment affected my chances of getting pregnant?
- and Can you recommend a fertility specialist?
- Can hormones or fertility drugs cause the return of my cancer? Can they cause new term cancer?
- Which infertility clinics specialize in cancer survivors?
- How does my age affect my options?
- Where can I get more information on the cost of each option?
- Who can help me find resources on how to pay for fertility treatment or adoption?
- What legal or ethical issues surround my fertility options?
- Where can I find adoption or support resources?
- Where can I find resources or support for the gestational or surrogate carrier?