planning for pregnancy prior to cancer treatment
hen you are diagnosed with cancer, typically your main focus is to explore your treatment options:
- What type of treatment therapies are available?
- Can a specialist successfully remove the cancer?
- How soon can I hope for remission?
These are all vitally important questions to ask yourself. One area that you may not think about, though, is future fertility preservation. Many types of chemotherapy and radiation will save your life but will unfortunately also leave you infertile. Thus, we encourage oncologists to take a woman's fertility into account if she is of reproductive age at the time cancer treatment will begin. We also encourage people with cancer to advocate for themselves and to know what options they may have at this difficult time. If you may desire children in the future, the Shady Grove Fertility physicians are adept at successfully freezing your eggs prior to beginning cancer treatment.
Due to the efforts of SGF's Drs. Mottla and Beall, and nurse Loretta Trumble, in addition to other collective efforts, on May 15, 2018, Maryland Governor Hogan signed the bill that will require insurers under the Maryland mandate to cover the expense of fertility preservation, sperm and egg freezing specifically, for people prior to medical treatments, such as chemotherapy for cancer, that likely would permanently damage a person's reproductive ability. Maryland was the first state in the nation to enact infertility insurance legislation and is now the third state that also covers fertility preservation for people with cancer prior to cancer treatment. Read more about the passing of this bill.
The Oncofertility Team
At SGF, we have a specially trained team that works specifically with people with cancer. We will work directly with your oncology team to ensure we expedite your fertility preservation so that cancer treatment can quickly begin. Known as the oncofertility team, they help guide you through each step of the treatment process, from finding ways to afford treatment to the actual medical procedure. Due to the time sensitivity with treatment, you can expect an expedited treatment plan and to see a physician for consultation as soon as possible.
Once you decide to move forward with treatment, it generally takes 2 to 3 weeks to complete stimulation of the ovaries for the egg retrieval.
After a reproductive endocrinologist retrieves your eggs, an embryologist will freeze them using vitrification technology. Your eggs will be available when you have completed your cancer treatment and you have been cleared to move forward with attempting pregnancy. A back-up plan is now in place should you need these eggs in the future. Use of these eggs in the future involves thawing the eggs, inseminating them with sperm, and transferring the embryo into your uterus. With frozen eggs, your success for achieving pregnancy is related to your age when you froze your eggs—not your age at the time you plan to use them.