For 11,500 People in the United States are diagnosed each year with cervical cancer.
Cervical cancer often occurs in reproductive years. Almost 4 out of 10 The people diagnosed with this disease are 45 and younger. The cervix plays an important role in pregnancy by helping to keep the baby in the womb. If your cervix is ​​removed or weakened during cervical cancer treatment, it can make it difficult or impossible to conceive or bring pregnancy to a term. However, it is still possible for some people to conceive after having cervical cancer.
We contacted experts to find out more to get pregnant when you have cervical cancer.
What are the treatments that limit fertility for cervical cancer?
There are many thoughts on healthcare providers (HCP) to take into account in the treatment of cervical cancer while trying to protect one’s fertility, he said Rachel Mandelbaum, MDA certified reproductive endocrinologist at HRC in fertility. This includes the stage of cancer, either treatments like irradiation and chemotherapy They need if the treatments will affect the ovaries and uterus.
Surgery Treat cervical cancer, but you do not affect your ability to become pregnant in the future. Usually occurred when cervical cancer is in its early stages, when the cancer has not spread out of the cervix, according to Ira winer, mdA gynecological oncologist at the Barbara Ann Karmanos Cancer Institute.
Fertility surgeries include a cone biopsy, also called cervical conical and tracerettomy. The biopsies of the cone include cutting a cone -shaped area of ​​cancer cells from the cervical tissue. Most people who had this process and have no other fertility problems to continue to have normal pregnancy and vaginal tradition.
A trachrectomy removes the entire cervix, upper vagina and a small area of ​​surrounding tissue. This procedure continues to allow the possibility to become pregnant in the future. Because a trachrectomy means that your HCP should place a stitch, called a cervicalAt the bottom of the uterus, you should have 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, radiotherapy in the pelvic area could damage the ovaries and affect your fertility. For some women, ovarian transport, which moves the ovaries away from the field of radiation, can be an option. If not, egg freezing or fetal freezing can be done before treatment begins.
Freezing eggs It is a process where a reproductive endocrinologist or a healthcare provider specializing in fertility tests and therapies, surgically removes multiple eggs from the ovaries. Eggs can be frozen until you are ready to use them. According to one 2022 studyThe chance of having a baby after freezing your eggs is over 50% if you freeze them before the age of 38.
What are the fertility options after cervical cancer?
If you are unable to become pregnant yourself after cervical cancer, the good news is that there are many options to have a baby with fertility treatments.
Fertilization in Vitro (IVF) is a type of fertility treatment that includes freezing your eggs. After Eggs are recoveredThey can either freeze or be combined with sperm to be fertilized in embryos. If you are unable to use your own eggs or your partner’s sperm, you also have the choice of the use of egg donor, sperm donor or both. The embryos themselves can either be frozen for later use or transferred to the uterus.
When does a substitute or prestige need?
If you have frozen eggs or embryos and your uterus has been removed, you have the ability to use a pregnancy transporter. “If you had extensive radiation, the uterine lining may also not grow and function properly to support a pregnancy,” Mandelbaum said. If your uterus cannot support a pregnancy, a pregnancy carrier would be necessary.
A pregnancy or substitute carrier is a person who carries and gives birth to your baby after IVF. This person has no genetic connection to the baby because he uses your eggs or embryos. Some people can also use donor or sperm eggs.
“The steps to build a family may look different for many cancer survivors, even among those who may have the same type of cancer,” Mandelbaum said. If you are experiencing cervical cancer diagnosis and want to get pregnant, talk to the HCP and care team for your choices.
How do cancer and fertility treatments affect the women of color?
Race, nationality and socio -economic factors can negatively affect both cervical cancer and the success of fertility treatment.
Black women are twice as likely As white women find it difficult to become pregnant regardless of whether they have cancer. They are also 50% less likely to seek help to become pregnant.
Insurance status can create further racial inequalities as one 2024 study showed. Medicaid does not cover fertility treatments and black and Spanish people are more likely to be covered by Medicaid than whites.
Other study They showed black women and women from other historically marginalized communities were more likely to be diagnosed with cervical cancer in later stages when it is more difficult to treat. Study participants who were uninsured or had Medicaid were less likely to have regular cervical cancer projections.
THis educational resource was created with support by Merck.
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