Fertility Preservation: ‘Preserving’ your dreams of Motherhood

Fertility Preservation

Breast cancer is regarded as the most prevalent malignancy in women and usually, the incidence is higher among older women, a majority diagnosed post-menopause. However, a large number of young women too are diagnosed with breast cancer during their reproductive lifespan. A lot of these patients experience difficulty conceiving after cytotoxic chemotherapy and/or hormone therapy.

With increasing positive outcomes in breast cancer treatment thanks to rapid advances in methods and techniques in modern medicine, it is becoming more and more relevant to consider fertility preservation in these patients. Fertility preservation is “the process of saving or protecting eggs, sperm, or embryo” to enable a person to use them to conceive in future.

The key to successful fertility preservation in cancer patients is early counseling and a prompt referral to a reproductive specialist. This gives the patients and their spouses/kin adequate time to make an informed decision on an appropriate method of fertility preservation, since there are a whole host of linkages between cancer diagnosis and fertility to consider and it can be really overwhelming.

What are available options of fertility preservation for breast cancer patients?

The currently used methods include: Cryopreservation of embryos; Oocytes cryopreservation; Gonadotropin-releasing hormone agonist treatment before and during chemotherapy; Ovarian transposition.

The most suitable method of fertility preservation is usually arrived at following a threadbare discussion of all the pros and cons between patients and doctors.

The entire process of fertility preservation following a breast cancer diagnosis can be traumatizing and confusing for couples. Men can bank their sperm without much ado, but for women, it’s a little more complicated. Cryopreservation of embryos is a commonly used technique these days for preserving fertility for use in assisted reproductive technology like IVF or in-vitro fertilization.

Who else can benefit from fertility preservation?

Individuals afflicted with certain illnesses or disorders which affect fertility could also benefit from fertility preservation. These include:

  • Those who have been exposed to toxic chemicals
  • Those suffering from endometriosis
  • Those having uterine fibroids
  • Patients needing treatment for an autoimmune disease
  • Those having a genetic disorder affecting fertility
  • Women who push back childbearing

Studies have shown that women diagnosed with breast cancer who have completed their treatment, “had no increased risk of relapse” if they delivered a baby following conception through IVF techniques. Overall, there is “no clear evidence” that ovulation induction or IVF increases the risk of breast cancer. The same studies on breast cancer patients also reveal that pregnancy and childbirth are not known to increase the risk of relapse.

‘Safety First’ will make your Puja memorable!

Safety First will make your Puja memorable!

Durga Puja is one of the biggest and grandest festivals in the world. Its intricate temple architecture (the pandals), the giant, resplendent idols, the multi-splendored décor and ingenious illumination, and most importantly, the spontaneous people’s participation, makes the Pujas a very unique tapestry of refined aesthetics and gay abandon.

It’s that time of the year when we would like to press the pause button on our hectic, humdrum schedule, forget our troubles for a while and live a bit. It’s time to relax with family and friends, sumptuous meals, endless adda sessions, and of course, pandal-hopping. Unfortunately, the raging pandemic had cast a damper on pandal-hopping last year and the big-ticket Pujas around Kolkata were a low-key affair. True, we are in a much better space this Pujas in terms of Covid-control, but we mustn’t make the mistake of letting our guard down. The Pujas will be the litmus test in our fight against the pandemic. And the outcome entirely hinges on how responsibly we can behave, specially while outdoors.

What can we do to stay safe during the Pujas?

Although the risk of infection is much lower outdoors compared to indoor spaces, we can’t lose sight of the fact that the virus spreads primarily through respiratory droplets released from an infected person through coughing, sneezing or talking, which can infiltrate the mouth, nose or eyes of people in close proximity. You can also get infected by touching your mouth, nose or eyes, after touching surfaces which are contaminated with the virus.

If you are fully vaccinated, you have already taken a big step towards keeping yourself and others safe. However, no COVID-19 vaccine provides 100 per cent protection, and instances of breakthrough infection are many. Hence, you will still need to stay vigilant and act responsibly if you are going outdoors for pandal-hopping or just a hearty meal with your near and dear ones. It’s important to take informed decisions to minimize risk involved in stepping outdoors for you and your family.

In our context, it’s still recommended to continue taking precautions like physical distancing, wearing a mask, frequent hand-washing and looking out for any COVID-19 symptoms before stepping out.

Some simple steps can help minimize risk of exposure to the virus

  • If you plan to go out during the Pujas, try to avoid peak hours and very crowded settings. If possible, take less congested routes.
  • Don’t forget to carry a hand sanitizer with at least 60 per cent alcohol, disinfecting wipes, tissues and extra face masks.
  • You must ensure that all family members/friends are feeling well and don’t have symptoms.
  • Remember to stay at least one metre away from others, to wear a mask when close to people outside your household, do not touch your face (eyes, nose, mouth) or the mask surface, and frequently wash or sanitize your hands.
  • If you are planning for a meal outside, choose an outdoor setting if possible, and remember to wash or sanitize your hands before eating. Take-out is always a safer option than eating indoors.
  • On returning home, first wash your hands with soap and water for at least 20 seconds.
  • Try to use the toilet before leaving home and try to avoid using public ones, as those could be crowded.

So, there’s no reason why you can’t enjoy the Pujas while keeping yourself and your loved ones safe from the virus. All you need is to stay alert and behave responsibly individually and in a group. The simple safeguards listed above should enable you to have a great time outdoors during the festive days without compromising on safety. We can also seek solace in the fact that the World Health Organization does not currently consider airborne transmission to be a primary mode of transmission for the general public. Happy Pujas…