Netizen: I am a young female patient. I have no children. I would like to ask an expert: After having breast cancer, will it affect future births?
Sun Qiang: After the patient has found breast cancer, whether or not he/she can bear this issue is currently considered in the literature at home and abroad as having no effect on childbirth.
There are two aspects here. On the one hand, fertility itself has no effect on breast cancer. The second problem is that breast cancer has no effect on fertility.
Does fertility affect breast cancer? At present, there is no report that this has increased the chance of recurrence after giving birth. All of them are not the same, even if the prognosis of fertility patients is better than non-birth, but this is not sure, at least there is no difference.
In this case, if there is such a situation in the country, the patient will ask, I have breast cancer, I can not give birth, we believe that breast cancer does not affect her fertility, but we must make a good choice. In terms of time, it is usually the peak of breast cancer recurrence after one and a half to two years after surgery. It is recommended that these patients miss this time. Because the first year may be to do some supplementary treatment, chemotherapy, radiotherapy, fertility at this time is not appropriate, but the peak of recurrence in a year and a half to two years, after this time, if there is no sign of relapse, it is fully considered Fertility. If your breast cancer is advanced in the future, the risk is very high in the future. This time needs to be considered. In case of recurrence, it may have a great impact on two aspects.
The second question is whether breast cancer affects fertility? During the chemotherapy process, it will certainly affect fertility. If some problems are considered, you can communicate with the doctor. The doctor will do preventive work in this area. For example, during chemotherapy, you can try to keep the ovaries free from damage. There will be no impact on fertility.
[Jiang Zefei's blog]
Jiang Zefei: Fertility is the right of a woman. When she does not have time to exercise her rights, she will have breast cancer. The doctor should respect her rights and respect her rights to have children. After some drugs are used up, such as after the drug is stopped or two years later, her genitals return to normal and she is fully fertile. In addition, foreign countries are now exploring the use of other transplant techniques to freeze germ cells in advance of chemotherapy. This is an exploration. This shows that domestic and foreign experts are paying attention to young women. When more and more white-collar women in our country visit the doctor, we must think more rationally about patients, consider the rights of patients, and achieve better scientific data. It is better to support these things.
Moderator: Some online friends said that 8 months of pregnancy had breast cancer. What should we do?
Jiang Zefei: It should be said that it is a great challenge. We also experienced this kind of challenge a month or two ago. First of all, we talked with family members. When family members did her work, mother and child's life was very important. It is a harm to her body and mind, especially mentality. If possible, it would be okay if the child was born and treated first. However, there is another problem. In the event of delay, the examination will be ignored during pregnancy. I would like to emphasize that as women, they are still doing a good job in the safety inspection of the main organs of the body, especially when they are preparing to be mothers.
Sun Qiang: When Ms Ye Danyang says that if she is pregnant for six months or seven months, her mother and her children can only choose one. We think that we should try our best to achieve the best of both worlds. We can not only make the mother get a good treatment, but also hope that the child is safe. born to. It should be said that after 32 weeks, that is, after 7 or 8 months, the children are relatively safe. If you say that 6 or 7 months, one or two months, you can move a little later.
There are also cases where patients have already developed breast cancer before they reach labor. We first deal with breast cancer and deal with breast cancer. It does not mean that you cannot safely give birth to children and do not deal with breast cancer. I just mentioned one hormone level. The second problem is that the second one has a lot of milk. This milk often flows in the breast and increases the chance of breast cancer spreading. We still try to solve the breast cancer problem.
We usually do breast cancer surgery for more than 7 months when the obstetrician and obstetrician doctor is in the same condition. Of course, anesthesia should not use general anesthesia. In this way, we can cut off the breast cancer. If the child does not have a problem with preterm birth, wait until he is born naturally. One patient was in this situation before SARS. Now it has been 4 years. Every year, the children are very good. Now that they are 4 or 5 years old, there is no sign of recurrence. It should be said that the situation allows, or both to take care of the safety of children, but also hope that breast cancer treatment.
Qiang Sun: It is definitely not acceptable for children to undergo chemotherapy before their lifetime. Chemotherapy affects children. Adjuvant treatment waits until the child is born.
Moderator: Can I use lip gloss and foundation when chemotherapy?
Sun Qiang: It should have no effect. But make it clear that these cosmetics are safe cosmetics.
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