Childhood Cancer Can Increase Pregnancy Complications
Complications
Obie Editorial Team
The 25th Annual Conference of the European Society of Human Reproduction and Embryology brought important insights for childhood cancer survivors, particularly regarding pregnancy. The findings suggest a need for awareness and proactive strategies to manage risks such as premature labor, early delivery, and postpartum hemorrhage, especially in certain cancer cases.
Dr. Lie Fong and the research team conducted a comprehensive study comparing pregnancy outcomes between 40 women previously treated for childhood cancer and a control group of 9000 women with no history of cancer. The data indicates that women who underwent abdominal radiotherapy had an increased likelihood of premature delivery. This group also experienced higher rates of postpartum hemorrhage, which calls for vigilant medical care during pregnancy and childbirth.
It's well-known that chemotherapy and radiotherapy can impact egg supply. However, it's empowering to note that not all eggs are destroyed during treatment. Many women who overcome cancer can still conceive naturally. Nevertheless, it is crucial that cancer survivors collaborate closely with their Ob-Gyn to monitor their pregnancy journey, and ensure hospital births for optimal safety.
Another important consideration is the potential for early menopause due to egg damage. "It's essential to consider this when discussing reproductive options with survivors," Dr. Lie Fong emphasized. Keeping this possibility in mind can guide informed, personalized planning for family building.
The study also highlighted a possible connection between head radiotherapy and infertility. Radiotherapy targeting the head area can impact the hypothalamus, a component of the brain essential for producing luteinizing hormone and follicle-stimulating hormone, which are crucial for ovulation. For more information on this topic, you may find this resource helpful.
Source: ESHRE.com / July 2009