Fertility and Infertility among Young Women Diagnosed with Breast Cancer up to Age 35 after Finishing the Treatment for Breast Cancer

Yana Yampolski 1,2 Daniela Katz 3 Ilana Kadmon 1 Ariel Revel 4
1MSc Student in advanced nursing practice, Hadassah Hebrew University School of Nursing
2Assaf Harofeh, Medical Center
3Dept. of Medical Oncology, Hadassah University Hospital
4Dept. of Gynecology, Hadassah University Hospital
Introduction: Many women diagnosed with breast cancer have fertility concerns. Though breast cancer patients are advised not to conceive for at least two years after treatment, the effect of pregnancy on cancer recurrence is controversial. Since each patient's situation is unique, counseling on chances of preserving fertility after chemotherapy is recommended. We sought to study the wish for future pregnancy in women following breast cancer treatment.  
Aim: To investigate the wish of getting pregnant of women with breast cancer. 
Materials and Methods: Breast cancer patients (n=66) below the age of 35 from two Israeli hospitals were included. The wish for fertility was measured in relation to age and marital status. Subjects were sampled in convenience sampling. The patients answered a "Pregnancy Post Breast Cancer"  Questionnaire .  Missing data was completed by telephone.  
Results: Patient age correlated with the desire to conceive. As patient age increased, the desire to get pregnant has almost doubled (OR=1.85; p≤0.003,). Moreover, the number of children before the diagnosis of breast cancer correlated with the desire to conceive (OR=2.6) (p≤0.001). 
Conclusions:  Our results show that older parous women desire to conceive more than nulliparous young women.








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