Health

  • Logout
  • Member Center

First Person

Cancer treatment complicates dreams of pregnancy

 

Andrea Torres will chronicle her treatment Tuesdays in Tropical Life.

atorres@MiamiHerald.com

The chance of getting breast cancer in your 30s is 1 in 250. I am 33. I was unlucky.

My diagnosis of invasive ductal carcinoma comes with a dream buster: If I survive, there is a high chance that I may not be able to have children.

“Your ovaries will suffer during chemotherapy,” warned Dr. Tihesha Wilson, a breast surgical oncologist at Mercy Hospital, after explaining a course of treatment. “You can develop premature ovarian failure or early menopause.”

The room got smaller. I thought about my childhood dream of one day falling in love, having a pretty wedding and giving birth to a boy who looked like his father. I felt like I had been robbed.

In a twist of irony, my choice to delay motherhood had also put me at risk for breast cancer, in the eyes of some experts.

“For over two centuries it was believed that a major cause of breast cancer was women not using their breasts for their natural purposes,” said Valerie Beral, director of the Cancer Epidemiology Unit at Oxford University. I watched her 2010 lecture on YouTube that night.

Information from more than 50,000 women worldwide, Beral said, has shown that the risk of breast cancer decreases with the more children women have and the longer they breastfeed. The higher incidence of breast cancer in developed countries is largely due to the different childbearing and breastfeeding patterns, Beral said.

No one in my family has had breast cancer. In Colombia, my maternal grandmother had seven children. My paternal grandmother had nine. They breastfed all their children. Neither grandmother finished high school.

“Take advantage of the opportunities that I didn’t have,” said my maternal grandmother. I was 18, and my teenage cousin had just given birth to a boy. “Condoms. Pills. Use those,” she said. I giggled.

My grandmother didn’t know that taking contraception increases the risk of breast cancer. I didn’t take the pill, but I did promise her that I would fly around the world like a free bird and have a career before I considered marriage and pregnancy. I thought I had arrived at that place in my life. My plans were crushed.

To complicate the situation, my fertility options without a male partner were limited. I learned from the Young Survival Coalition that only about 500 babies have come from frozen eggs, and only a few from ovarian tissue freezing. Also, both fertility preservation methods are experimental, so they are generally not paid for by insurance.

With a tsunami of medical bills on the horizon, the treatments would bring an extra burden. Either one would cost at least $10,000 for each cycle and hundreds per year in storage costs.

The process could take about three weeks. And with a Stage 3 time bomb threatening to explode through my lymph nodes, delaying chemotherapy did not feel like a wise choice.

Fertile Hope, an organization dedicated to disseminating information on infertility associated with breast cancer treatment, places the risk of infertility due to chemotherapy at 40 to 80 percent. With some regret, I decided I was going to take a gamble.

My primary mission was to work on saving my life. A representative of the American Cancer Society said that patients with my diagnosis had a 67 percent chance of survival, and explained over the phone that the numbers did not take into account lateral health conditions. I was healthy otherwise, so I assured myself that my chances were higher.

dealsaver
The Miami Herald: Subscribe now!

More from
Health

  •  

 

    Skin cancer

    The bright — and dark — side of the sun

    Memorial Day weekend, the unofficial start of summer, is nearing and the sun’s rays will be at their strongest.

  •  

Pogo, who got his name from his tendency to stand on his hind legs, was left at the Humane Society of Broward County with two fractured front legs. Chris Wheeler of Weston adopted Pogo, who can now run and play normally despite his front legs being shorter.

    ANIMALS

    South Florida pet owners say caring for animal with disability comes with huge rewards

    Pet owners say adopting an animal with a disability can take extra time and money, but it’s hugely rewarding.

  • Plastic Surgery 101

    Plenty of options after breast cancer surgery

    Congratulations on being a breast cancer survivor! Breast cancer affects one in approximately eight women in America and because of improved surveillance and treatment there are more than 2.5 million breast cancer survivors in the United States. I can not overemphasize the importance of talking to your doctor about self-examinations and mammograms for routine surveillance, which leads to early detection of breast cancers. Breast cancer does affect men, so they too should be vigilant if any masses form in their breast.

Join the
Discussion

The Miami Herald is pleased to provide this opportunity to share information, experiences and observations about what's in the news. Some of the comments may be reprinted elsewhere in the site or in the newspaper. We encourage lively, open debate on the issues of the day, and ask that you refrain from profanity, hate speech, personal comments and remarks that are off point. Thank you for taking the time to offer your thoughts.

We have introduced a new commenting system called Disqus for our articles. This allows readers the option of signing in using their Facebook, Twitter, Disqus or existing MiamiHerald.com username and password.

Having problems? Read more about the commenting system on MiamiHerald.com.

Hide Comments

This affects comments on all stories.

Cancel OK
0 comments

  • Videos

  • Quick Job Search

Enter Keyword(s) Enter City Select a State Select a Category