Pregnancy and cervical cancer: know your options

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Around 11,500 women in the United States receive cervical cancer diagnoses every year.

Cervical cancer often takes place during the reproductive years. Almost 4 out of 10 people who receive this diagnosis are 45 years or less. The cervix plays an important role in pregnancy to keep the baby in the uterus. If your cervix is ​​removed or weakened during the treatment of cervical cancer, this may hinder or make it impossible to receive or obtain pregnancy. However, some people can still imagine after cervical cancer.

We communicate with experts to find out more about the opportunity to get pregnant when you have cervical cancer.

What are treatments against cervical cancer with fertility maintenance?

There are many considerations that medical care (HCP) should take into account if you treat cervical cancer while trying to protect a person’s fertility, said Rachel Mandelbaum, MD, a certified reproductive endocrinologist certified HRC fertility. This includes cancer when treatments such as radiation and chemotherapy are necessary and treatments affect the ovaries and the uterus.

Operations that keep fertility treat cervical cancer, but do not affect their ability to get pregnant in the future. They are usually generated when cancer is at an early stage when, according to Winer, MD, a gynecological oncologist from Barbara Ann Karmanos Cancer, has not spread outside of the cervix.

The operations that keep fertility include the conical biopsy, which is also referred to as cervix and uterus zervizectomy. Conical biopsies include cutting an area in the form of cancer cell cones to extract those of cervix tissue. Most people who undergo this procedure and have no other fertility problem can have normal pregnancies and vaginal births.

The uterus quericeectomy removes the entire cervix, the upper part of the vagina and a small area of ​​the adjacent tissue. This procedure also enables the possibility to have pregnancies in the future. Since the Uterus quericeectomy implies that the medical provider has to place a seam point that is called, you must have a Caesarean section section if you become pregnant in the future.

Can you freeze your egg cells for the future?

Yes, even if you still have your uterus, the radiation therapy of the pelvic area can damage the ovaries and influence their fertility. For some women, ovarian transposition that moves the ovaries of the radiation field could be an option. If not, egg cells or embryos can freeze before the start of treatment.

Freezing the egg cells is a process in which a reproductive endocrinologist or medical provider who specializes in fertility tests and treatments removes several ovules from the ovaries. The egg cells can freeze until they are ready to use. According to a study of 2022, the likelihood of getting a baby after freezing your eggs exceeds 50%if you freeze it before freezing.

Which treatment options are after cervical cancer?

If you cannot get pregnant after cervical cancer, there is good news that there are many ways to get a baby with fertility treatments.

In -vitro -fertilization (IVF) is a fertility treatment that implies that you freeze your egg cells. After egg cells have been extracted, they can be frozen or combined with sperm to fertilize them into embryos. If you cannot use your partner’s own ovules or sperm, you also have the option of using ovules or sperm dispensers. Embryo can freeze to use later or be transferred to the uterus.

When is a mother or a broken pregnancy required?

If you have frozen your egg cells or embryos and touched your uterus, you have the option of using a replacement mother. “If you have received a lot of radiation, it is possible that the mucous membrane of the uterus does not grow or usually does not work to endure pregnancy,” said Mandelbaum. If your uterus cannot endure pregnancy, a pregnancy mother is required.

Pregnancy or broken mother is a person who has and has the birth of your baby after an IVF. This person has no genetic connection with the baby because they use their egg cells or embryos. Some people could also use ovules or sperm donors.

“The steps to develop a family can be different for many cancer survivors, even for people with the same type of cancer,” said Mandelbaum. If you have a diagnosis of cervical cancer and want to get pregnant, talk to your team and medical provider about your options.

How do cancer and fertility treatments in color work in color?

Raced, ethnic and socio-economic factors can negatively affect the success of cervical and fertility cancer treatments.

Black women often have difficulty getting pregnant than white women, regardless of whether they have cancer. They are also 50% less likely to find help to get pregnant.

The health insurance situation can increase the racial differences, as shown by a study of 2024. Medicaid does not cover fertility treatments, and black or Hispanic people have more a medicaid cover than whites.

Another study showed that black women and other historically marginalized communities in later stages were more likely to receive cervical cancer diagnoses when their treatment is more difficult. Study participants who were not safe or had a medical coverage were regularly examined in cervical cancer examinations.

This educational resource was created with Merck’s support.

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