{"id":72354,"date":"2020-09-21T23:56:34","date_gmt":"2020-09-21T20:56:34","guid":{"rendered":"https:\/\/en.buradabiliyorum.com\/a-cancer-diagnosis-need-not-end-future-dreams-for-a-family\/"},"modified":"2020-09-21T23:56:34","modified_gmt":"2020-09-21T20:56:34","slug":"a-cancer-diagnosis-need-not-end-future-dreams-for-a-family","status":"publish","type":"post","link":"https:\/\/buradabiliyorum.com\/en\/a-cancer-diagnosis-need-not-end-future-dreams-for-a-family\/","title":{"rendered":"#A cancer diagnosis need not end future dreams for a family"},"content":{"rendered":"

“#A cancer diagnosis need not end future dreams for a family<\/strong>”<\/p>\n

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If you want to watch Movies<\/a> or TV series visit the Dizi.BuradaBiliyorum.Com<\/a><\/span><\/strong><\/p>\n<\/blockquote>\n

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\n Needless to say, there\u2019s a dizzying array of questions to consider when you\u2019re given a cancer diagnosis. Coming up with a game<\/a> plan to preserve your fertility can be one of the biggest stressors.<\/p>\n

Thankfully, modern medicine has made the hope of becoming a mom or pop post-cancer attainable.
OB-GYN Dr. Jovana Lekovich is on the front line. As a reproductive endocrinologist and infertility specialist at Reproductive Medicine Associates of New York (RMA NY)<\/a> and director of the oncofertility program at the Blavatnik Family \u2014 Chelsea Medical Center at Mount Sinai<\/a>, she\u2019s there to help patients forge a path forward.<\/p>\n

\u201cFacing a cancer diagnosis as a young person is devastating,\u201d said Lekovich. \u201cPatients often feel additionally overwhelmed to learn that treatment might prevent them from ever having biological children. What I always like to point out is that the very fact that they are being referred to me to discuss fertility preservation is an incredibly positive thing. It signifies that their oncologist and I are confident they will survive this and that it will soon be in the rearview mirror.\u201d<\/p>\n

To that point, it\u2019s best to seek out a reproductive endocrinologist who specializes in oncofertility, a subfield that deals exclusively in family planning for cancer patients and survivors.<\/p>\n

For the most part, cancer doesn\u2019t necessarily have a detrimental effect on fertility. Rather, it\u2019s the cancer treatment \u2014 including chemotherapy, surgery and radiation \u2014 that can damage a patient\u2019s reproductive future.<\/p>\n

Specifically, chemotherapy can impact reproductive tissue and lead to infertility. Radiation can decrease \u201cegg and sperm quantity and quality [and] also reduce uterine size leading to an inability to carry a pregnancy,\u201d said Dr. Jaime Knopman, director of fertility preservation at CCRM Fertility New York<\/a>. Hormone therapy can change estrogen, progesterone and testosterone levels which can hinder production and maintenance of eggs and sperm. Additionally, surgery may remove reproductive organs. Radiation to the pelvis will cause premature ovarian failure and induce menopause (among other side effects).<\/p>\n

Dr. Akila Viswanathan of Johns Hopkins Sidney Kimmel Comprehensive Cancer Center<\/a> and interim director and professor of radiation oncology and molecular radiation science<\/a>s who treats young women with locally advanced cervical cancer, noted that \u201cradiation causes changes to all gynecologic organs which makes it not possible to carry a pregnancy to full term, and ovarian dysfunction.\u201d<\/p>\n

For male patients, the directive is pretty straightforward: Bank your sperm (semen cryopreservation) before chemotherapy or radiation. There are limited options for pre-pubescent boys since they don\u2019t have mature sperm cells. In this case, \u201ctesticular tissue cryopreservation can be done, but there are no live births through this procedure yet, and is considered highly experimental,\u201d said Lekovich.<\/p>\n

For women with a new cancer diagnosis, as long as they\u2019re clinically stable and have a reasonable prognosis, fertility preservation should be strongly considered before treatment begins.<\/p>\n

\u201cWomen may elect to freeze their oocytes [egg cells] as it is quicker and cheaper than an in vitro fertilization [IVF] cycle,\u201d said Dr. Janelle Luk, co-founder and medical director of Generation Next Fertility<\/a>. (An IVF cycle involves combining the eggs with sperm to make an embryo.) However, an egg-freezing cycle typically takes around two to three weeks, and \u201call options for women do require some form of hormone therapy, invasive procedures and time,\u201d said Luk.<\/p>\n

Other options include the freezing of ovarian tissue, hormonal medications, and experimental app<\/a>roaches such as uterine transplants.<\/p>\n

\u201cYou often have just one shot at it before the cancer treatment starts, and there is not that much room for error and experimentation,\u201d said Lekovich.<\/p>\n

On the financial front, while New York state has a law in place that obliges insurance companies to cover three cycles of IVF treatments, you may still be responsible for some co-insurance or deductible. Some options to explore include Generation Next Fertility\u2019s \u201cEggtober,\u201d<\/a> which runs this October in recognition of breast cancer awareness month. They are offering a free egg-freezing cycle for women currently or previously diagnosed with breast cancer. There\u2019s also Chick Mission, a nonprofit which advocates for patients and gives monetary need-based grants.<\/p>\n

For Lily Weinbach, opting for fertility preservation has been a veritable boon. Now a sophomore at the University of Michigan, Weinbach froze her eggs after being diagnosed with colon cancer at 18.<\/p>\n

\u201cI had surgery that would remove my entire colon and six months of chemotherapy. I decided it would be the smartest decision for me to freeze my eggs, as an insurance policy,\u201d she said. \u201cI still hope to be able to conceive naturally, but this makes me feel a whole lot better. They ended up getting a good number of viable eggs. Now, I\u2019m 20 and currently being treated for a relapse in my liver. I now can go forward with treatments that otherwise would\u2019ve changed my future in a huge way, but knowing that I have the option to use my own eggs no matter what.\u201d\n <\/p><\/div>\n

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“#A cancer diagnosis need not end future dreams for a family” If you want to watch Movies or TV series visit the Dizi.BuradaBiliyorum.Com Needless to say, there\u2019s a dizzying array of questions to consider when you\u2019re given a cancer diagnosis. Coming up with a game plan to preserve your fertility can be one of the…<\/p>\n","protected":false},"author":1,"featured_media":72355,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2020\/09\/ivf-treatment.jpg?quality=90&strip=all&w=1200","fifu_image_alt":"","footnotes":""},"categories":[70897],"tags":[71811,71402,71954,71955],"class_list":["post-72354","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-9-21-20","tag-cancer","tag-fertility","tag-ivf"],"_links":{"self":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/72354","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/comments?post=72354"}],"version-history":[{"count":0,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/72354\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media\/72355"}],"wp:attachment":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media?parent=72354"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/categories?post=72354"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/tags?post=72354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}