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  • ovarian cancer and fertility

    Hi there,

    I am 42, never pregnant, recently diagnosed ovarian cancer stage 1c, I have had my left ovary removed but my right ovary and utereus are intact as there was no visible sign of cancer cells on them,

    I will be having chemo with Taxol, and carboplatinum soon, I want to take GNRH in an attempt to preserve my remaining ovary during the chemo.

    will chemo damage my fertility definitely?, will chemo kill the cancer ells in the ovary if there are any without damaging its health?

    My surgeon wants to perform a full hysterectomy as a precautionary measure but before this happens I want to try to become pregnant.

    I have enquired about freezing eggs but was told there was a risk that harvesting eggs and the drugs involved may stimulate the cancer in my good ovary.

    I was also told a possible pregnancy may also stimulate any remaining cancer due to the body being flooded with hormones.

    the remaining ovary may very well be healthy and cancer free or not, there is no way of telling exactly.

    i am currently ovulating three weeks ater surgery, I am very fit stong and previously extremely healthy.

    what is your opinion of my situation please....

    i realise the odds are rather stacked up! but there is such a big thing or me that I want to understand the full extent of possibility of a pregnancy being possible

    Thank you very much

  • #2
    Hi There,

    I'm sorry to hear about your ovarian cancer. As a broad generalization, fertility is not generally good in many 42 year old women. To answer your questions:

    Yes - Chemo will more than likely have a negative impact on your fertility. While it's impossible to predict with certainty, this effect is generally a given. Also, time/age can have a negative impact on female fertility, so once the chemo is done, and after waiting for the "green light" from a Gyn Oncologist, you will be older than you are now and potentially even less fertile. It's critical that you collaborate, in person, with both a qualified/Board Certified RE and Gyn Oncologist who can review your options with you.

    As you can imagine, it's not in your best interest to have your fertility concerns addressed from afar. Sit down and discuss this with specialists sooner rather than later. In the meanwhile, www.fertilehope.org is a good resource for information you can empower yourself with.

    Good luck and best wishes!
    Dr. Roseff - South Florida Institute for Reproductive Medicine - Boca Raton, FL
    PERSONALIZED/SUCCESSFUL Specialty care....

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