Monday , October 18 2021

Cancer and mothers: what you need to know to maintain fertility


February 4 marks the World Day Against Cancer, a day sponsored by international organizations to raise awareness of their importance prevention, early detection and control and care need cure and cure.

According to data from the International Agency for Research on Cancer in Argentina, the incidence of oncological diseases is high, with an average of 217 new cases per 100,000 people.

In this context, knowing the effects of cancer on fertility, will play an important role for those who undergo such a pathology and want to become parents, and know the available alternatives.

"First of all, it should be noted that each painting is unique and special, but Usually we can say that after oncological disease it is possible to become a mother"According to fertility doctor Fernando Neuspiller," fertility preservation is one of the first decisions to be made in cancer diagnosis. "

The Director of the Valencia Infertility Institute (IMI) Buenos Aires stressed that "a specialist should discuss the possibility of infertility before starting cancer treatment (chemotherapy, radiotherapy and / or surgery) and provide all the information you need to make a decision about his future. "

There are a number of options that allow you to maintain fertility, usually with the most preferred glazing, always after consultation and approval by the oncology team.

"The method of vitrification consists of ovarian stimulation with medication, which can be started at any time during the woman's cycle, to then absorb the oocytes that will come to the hardening process, which will be treated with the cryoprotective substance and immersed in liquid nitrogen at -196 ° C – began to explain Neuspiller. Unlike traditional freezing, ice crystals that can damage the egg are not formed and the entire procedure takes only 10 to 12 days. After the patient has completed the oncological treatment and is discharged, she can start treatment for blood reproduction using her previously obtained eggs. "

Men may also have complications in their reproductive capacity, for example if they receive radiation on the prostate or testicles, or if they have to undergo surgery to remove one or both testicles (orchiectomy). It is therefore advisable to consult a fertility specialist and analyze the convenience of freezing the semen. "The proposed method is cryopreservation consisting of freezing semen to preserve sperm samples coming from the ejaculate as well as from the testicles or epidids, keeping them at a very low temperature until thawed, this procedure should be carried out as soon as possible. oncology and ancillary units, ”the specialist explained.

"Improving oncological treatment as well as the effectiveness of early diagnostic programs has made it possible to significantly improve the cure and survival rates of some tumors. the task of specialists is to give more importance to the side effects of chemotherapy and radiotherapy treatmentin particular, giving priority to ovarian function and fertility maintenance, ”concluded Neuspiller.

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