Does cancer treatment pose risks to pregnancy? Understand

The influencer Isabel Veloso 18, revealed this Tuesday (8) details of the evolution of his cancer. In a video published on her Instagram profile, she said that the tumor grew again and decided to undergo chemotherapy again to treat it. 20 weeks pregnant, the young woman also said that her health condition does not pose any risks to her pregnancy.

Veloso treats one Hodgkin’s lymphoma since I was 15 years old. In March of this year, she revealed that she had been given just a few months to live by doctors. However, in August, she said that she was no longer a terminal patient and was in palliative care. In the same month, she announced her pregnancy, the result of her relationship with her husband. Lucas Borbas .

According to American Cancer Societyif Hodgkin lymphoma needs to be treated during pregnancy, the treatment is delayed until after the first trimester if possible. This is because the risks for the baby are lower after the first three months. Generally, this type of cancer is treated with chemotherapy.

In cases where cancer is diagnosed during the second half of pregnancy and is not causing serious health complications, the woman can wait until the baby is born to begin treatment. In some scenarios, labor can be induced a few weeks earlier and treatment is started immediately.

Still according to American society, generally, radiotherapy is not given during pregnancy due to concerns about possible long-term effects on the fetus. Likewise, some imaging tests that use radiation — such as CT scans, PET scans and X-rays — should be avoided whenever possible.

Furthermore, according to Daniel Gimenes, oncologist at Oncoclínicas São Paulo, there is no evidence linking congenital malformations in babies to the effects of cancer treatments previously carried out by mothers.

“Currently, it is not uncommon to treat women who became pregnant during treatment, or discovered cancer while pregnant. Of course, we cannot deceive ourselves, each case is unique and for each woman there are different possibilities, which must be carefully evaluated, understanding all aspects that concern safety for mother and baby”, he states.

Is cancer treatment an impediment for those who still want to get pregnant?

According to the expert, there are some oncological treatments that, in the case of women who still want to have children, can affect fertility, causing symptoms such as early menopause and hindering the chances of pregnancy.

“The diagnosis of a tumor always generates that initial pessimism. But currently, it is not uncommon to treat women who became pregnant during treatment, or discovered cancer while pregnant. Of course, we cannot deceive ourselves, each case is unique and for each woman there are different possibilities, which must be carefully evaluated, understanding all aspects that concern safety for mother and baby. But cancer should not be understood as a factor that makes motherhood impossible”, he states.

Gimenes explains that 10% of women under 30 will experience infertility after tumor treatment. Over the age of 40, the problem can affect around a third of patients. However, there are ways to preserve fertility.

One of them is the cryopreservation of embryos, which consists of conserving cells through a process of cooling and maintenance at around minus 190°C. These conditions inhibit metabolic activity and cells remain in a state of suspension of their chemical reactions. “The basic principle of cryopreservation is to maintain cell viability and function after thawing. In this method, there is cryopreservation of embryos”, explains Gimenes.

The aforementioned method, popularly called embryo freezing has become an ally for women diagnosed with cancer, but who want to be mothers after treatment.

Another case is the cryopreservation of oocytes, which will give rise to the female egg. The technique, as the specialist explains, has the advantage of eliminating the need for a partner or donor semen, which promotes female reproductive autonomy.

Hodgkin’s lymphoma: what it is, what the symptoms are and how to treat it

This content was originally published in Does cancer treatment pose risks to pregnancy? Understand on the CNN Brasil website.

Source: CNN Brasil

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