Our Office is nearest to you Not your office?

No Proven IVF – Cancer Link

 

 

 

 

 

 

Miriam Falco – CNN Medical Managing Editor
October 18, 2011
Source: CNN

E! News anchor Giuliana Rancic’s efforts to conceive have been the main theme of her reality show “Giuliana and Bill.” On Monday she revealed she has to postpone her next round of IVF after her new fertility expert insisted she get screened for breast cancer, even though she is only 36 years old.

Rancic said, on the Today Show, that her doctor told her “I don’t care if you’re 26, 36. I won’t get you pregnant if there is a small risk you have cancer. If you get pregnant it can accelerate the cancer. The hormones accelerate the cancer.”

> Watch Giuliana’s announcement on the Today Show.

Her doctor may have been taking the step as a precaution.

“There’s no evidence for a link between breast cancer and infertility treatment,” says Dr. Eric Widra, who chairs the Society for Assisted Reproductive Technology. A 2005 study looked at a possibility but the study authors concluded a link to breast or ovarian cancer had not been found.

Dr. George Sledge, co-director of breast cancer treatment at Indiana University’s Simon Cancer Center, says there are no good data to show that IVF accelerates breast cancer. “Not having a child and infertility in itself increases the risk for breast cancer,” he says. Sledge isn’t familiar with Rancic’s medical history, but he says the younger you are when you have your first child, the less likely you are to have breast cancer.

“Breast cancer at 36 is rare, and it’s fortunate for her that it was detected early,” says Widra, a physician at Shady Grove Fertility in Washington, D.C. However, he doesn’t agree with Rancic’s doctor that women in their 20s or 30s should get a mammogram before starting IVF. The American Society for Reproductive Medicine recommends the same guidelines as the American College of Obstetrics and Gynecology, he says: Begin screening at the age of 40, unless there’s family history.

> Schedule Appointment with Shady Grove Fertility

But it appears things can vary from clinic to clinic. Dr. Andrew Toledo, a fertility specialist at Reproductive Biology Associates in Atlanta, says in his clinic, “We want a baseline mammogram [for our patients] between 35 and 40, unless they have a family history.”

Rancic had previously undergone two rounds of IVF. The second did result in a pregnancy, which ended in a miscarriage. She says she plans to try to get pregnant again after having surgery this week and undergoing six weeks of radiation treatment.

Sledge, who is the past president of the American Society of Clinical Oncologists, says the use of estrogen in general in women who’ve had breast cancer makes doctors nervous because some cancers are fueled by hormones.

But Widra says women who have successfully completed their cancer treatment can try to get pregnant again, typically five years after they have been disease-free. Widra, who is not familiar with Rancic’s specific case, points out that even after surgery and radiation, breast cancer patients may need to undergo even more treatments, like taking the drug tamoxifen, which can reduce the risk of breast cancer coming back by blocking the activity of estrogen in the breast if the breast cancer is fueled by estrogen – not all cancers are.

When a woman tries to get pregnant after undergoing breast cancer, her treatment needs to be individualized, says Dr. Mitch Rosen, director of the Fertility Preservation Center at the University of California-San Francisco. He says he sees many patients facing this question and he says it’s incredibly important that women receive good counseling. “It depends on your cancer, your age, what kind of cancer you have,” he says. If a woman has the type of tumor that is fueled by estrogen, tamoxifen (or other hormone-disrupting drugs) need to be taken for five years.

> Learn more about Fertility Preservation at Shady Grove Fertility.

If a cancer patient is 22, Rosen says he would recommend she wait the full five years before trying to get pregnant. If she’s 38, for example, getting pregnant gets harder with age – then, he says, he would probably recommend taking the hormone-blocking medication for tw0 years, taking a break to get pregnant, and then resuming the drug for three more years.

> Watch SGF patient, Heather, diagnosed with Endometrial Cancer during treatment.

If a patient has a type of cancer that is not dependent on hormones to grow, then surgery and radiation are usually followed by chemotherapy to kill any lingering cancer cells.

In those cases, Rosen says he recommends that his patients wait at least six months, better a whole year, before trying IVF again, just to reduce the possibility of birth defects caused by the cancer treatment.

Patients need to talk to their doctor and be made aware of the risks and options, so they can be comfortable with their decision on when and whether they should undergo IVF again.

View the article at: http://thechart.blogs.cnn.com/2011/10/18/no-proved-ivf-cancer-link-doctors-say/?hpt=hp_t2

5 Comments

  1. www

    September 10, 2015 - 8:15 pm
    Reply

    So, it is necessary that you plan your shoe budget before buying one.
    Style- Most of us looks at the design and
    style while buying any item. Right from the beginning
    the company had earned great reputation thanks to the quality of
    its shoes.

  2. How to remix a song

    April 23, 2012 - 8:45 pm
    Reply

    Its such as you learn my mind! You seem to understand so much approximately this, such as you wrote the ebook in it or something. I believe that you simply could do with a few p.c. to pressure the message home a bit, however other than that, this is magnificent blog. An excellent read. I’ll definitely be back.

  3. tratament alternativ

    January 13, 2012 - 4:44 pm
    Reply

    Hello there, just turned into alert to your blog thru Google, and found that it’s really informative. I’m gonna watch out for brussels. I’ll appreciate in the event you proceed this in future. Many other folks shall be benefited out of your writing. Cheers!

  4. IVF Pregnancy

    December 8, 2011 - 2:14 am
    Reply

    You can definitely see your enthusiasm within the paintings you write. The arena hopes for more passionate writers like you who are not afraid to say how they believe. At all times go after your heart.

  5. ari

    November 11, 2011 - 5:19 am
    Reply

    as I feel much yulian ransic, I’ve been through the same have tried to be embarasada and me was impossible so have to take things as God sends though is that it’s not easy, but must be seguiradelante to face the obtaculos and not give up. God will be with tigo my blessings reyna good look.

Leave a Reply

Your email address will not be published. Required fields are marked *


Recently Visited Pages

The following mark the 9 most recent pages you have visited on ShadyGroveFertility.com. Please click a link below to return to that page.