Читать книгу Assisted Reproduction Techniques - Группа авторов - Страница 173

1 Q1 As a cancer survivor, can I get pregnant?A1. In many cancer survivors, pregnancy is now possible, but it depends on a number of factors. You should speak to your cancer specialist regarding this and, generally, the cancer should be “cured” before you attempt pregnancy.

2 Q2 How does my radiation treatment affect my ovaries?A2. The radiation treatment causes direct damage to your eggs. This can result in a decrease in your ovaries’ ability to release female hormones and can lead to early menopause. The dose of radiation used, your age at time of radiation treatment and the area of your body that is radiated are some of the factors that determine the extent of damage to your eggs.

3 Q3 Can I get pregnant with my own eggs after radiation treatment?A3. If you are still getting regular periods, it may be possible for you to get pregnant with your own eggs. Your fertility specialist will do an ultrasound to measure your ovarian volume (at least 3 cc) and measure your antral follicle count (small follicles in your ovaries measuring 2–5 mm in diameter). Other tests include measuring your follicle stimulating hormone (FSH) level (should be less than 10 mIU/mL) and anti‐Müllerian hormone (AMH) level (should be more than 1 ng/mL). If you are not getting regular periods, you may be in premature menopause. In that case, you can get pregnant using an egg donor.

4 Q4 Will my pregnancy be complicated?A4. There is an increased chance of miscarriage in patients with a history of pelvic radiation. Other complications include preterm delivery, low birth weight babies, increased rate of C‐section and placental complications.