Pregnancy and cervical cancer: know your options

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Around 11,500 people in the USA are diagnosed every year.

Cervical cancer often takes place in the reproductive years. Almost 4 out of 10 people in whom this disease was diagnosed are 45 and younger. The cervix plays an important role in pregnancy by holding the baby in the uterus. If your cervix is ​​removed or weakened during the treatment of cervical cancer, it may be difficult or impossible to detect or carry pregnancy to the term. However, some people can still be forced to receive cervical cancer.

We turned to experts to learn more about pregnancy when they have cervix cancer.

What are fertile treatments for cervical cancer?

There are many considerations that health service providers (HCP) take into account in the treatment of cervical cancer and at the same time try to protect a person’s fertility, said Rachel Mandelbaum, MD, a reciprocated reciprocal endocrinologist in HRC fertility. This includes the cancer stage whether treatments such as radiation and chemotherapy are necessary and whether treatments affect the ovaries and the uterus.

Fertility -saving operations treat cervical cancer, but do not affect their ability to become pregnant in the future. According to Ira Winer, MD, a gynecological oncologist at Barbara Ann Karmano’s Cancer, it is usually done when the cervical cancer is located at an early stage.

The fertile operations include the cone biopsy, also cervical concentration, and trachelectomy. Kegel biopsies include cutting a cone -shaped area of ​​cancer cells from the neck tissue. Most people who had this procedure and have no other fertility problems can have normal pregnancy and vaginal childbirth.

A trachelectomy removes the entire cervix, the upper vagina and a small area of ​​the surrounding tissue. This procedure still enables the possibility to get pregnant in the future. Since a trachelectomy means that your HCP in the lower part of the uterus has a stab, which is referred to as a cervix, have a section of a caesarean section if you become pregnant in the future.

Can you freeze your eggs for the future?

Yes. Even if you still have your uterus, radiation therapy in the pelvic area can damage the ovaries and influence their fertility. For some women, ovarian transposition that remove the ovaries from the radiation field can be an option. If not, freezing eggs or freezing eggs can be carried out before the start of the treatment.

Freezing eggs is a process in which a reproductive endocrinologist or a healthcare provider specializing in fertility tests and treatments surgically removes several eggs from the ovaries. Eggs can be frozen until they are ready to use them. According to a 2022 study, the chance of getting a baby after freezing your eggs is over 50%if you freeze it before the age of 38.

What are fertility treatment options after cervical cancer?

If you don’t get pregnant after cervical cancer alone, the good news is that there are many ways to get a baby with fertility treatments.

The in -vitro -fertilization (IVF) is a kind of fertility treatment in which your eggs are frozen. After winning eggs, they can either be frozen or with sperm in embryos in combination. If you are unable to use your own eggs or sperm of your partner, you also have the option of using an egg dispenser, a sperm dispenser or both. The embryos themselves can either be frozen for later use or transferred to the uterus.

When is a replacement or pregnancy wearer needed?

If you have frozen eggs or embryos and your uterus has been removed, you have the option of using a pregnancy carrier. “If you had extensive radiation, the uterine cabin may not grow and work normally to support pregnancy,” said Mandelbaum. If your uterus cannot support pregnancy, a pregnancy wearer would be required.

A pregnancy or replacement is a person who wears and gives birth to your baby after an IVF. This person has no genetic connection to the baby because they use their eggs or embryos. Some people can also use donors or sperm.

“The steps to build a family can look different for many cancer survivors, even among those who may have had the same kind of cancer,” said Mandelbaum. If you are faced with a cervical cancer diagnosis and want to get pregnant, talk to your HCP and care team about your options.

How do cancer and fertility treatments from color women affect?

Breed, ethnic belonging and socio -economic factors can have a negative impact on cervical cancer and fertility treatment.

Black women are twice as likely as white women who have difficulty getting pregnant, regardless of whether they lead to cancer. It is also 50% less likely to seek help with pregnancy.

As a 2024 study has shown, the insurance status can continue to cause racist differences. Medicaid does not cover fertility treatments, and blacks and Hispanic people are more likely to be covered by medicaid than white.

Another study showed that black women from other historically marginalized communities in later stadiums were more diagnosed with cervical cancer if it is more difficult to treat. Study participants who were not insured or had medicaid have rarely had regular examinations of cervical cancer.

This educational resource was created with the support of Merck.

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