Postmenopausal women tend to have the most diagnosed cervical cancer. Nonetheless, premenopausal women who want to conceive can also be diagnosed. Many women these days delay conception. Unfortunately, this can lead to cervical cancer before getting pregnant. Many treatments result in permanent infertility. However, options exist for cervical cancer and pregnancy. Some women who wish to preserve their fertility can still get pregnant.
Cervical cancer and pregnancy
The standard treatments for cervical cancer, a hysterectomy (simple or radical) and pelvic radiation, result in permanent sterility. Select patients with early-stage cancer could qualify for fertility-sparing options. These include radical fertility-sparing trachelectomy. Furthermore, the cervix is removed but the uterus is spared.
Approximately one-third of patients with cervical cancer may meet the criteria for this procedure. Due to the rarity of this procedure, many referring physicians do not know this procedure can be an option.
Radical trachelectomy candidates
Those who desire future fertility possibilities qualify. Otherwise, doctors prefer more conventional methods. Surgery can be more complicated when compared to a standard hysterectomy. Furthermore, a patient might have to meet with another gynecological oncologist. Not all of these specialists can perform fertility-sparing trachelectomies.
At a patient’s initial consultation, providers would obtain important information. This is to assess if it is an appropriate option. Some of these criteria include:
- Tumor size
- Any spread of disease on imaging
- The type of cancer
- Others depending on the patient
How is the procedure performed?
Several surgical options exist with a trachelectomy. These include vaginal or abdominal, and robotic or minimally invasive. In addition, most surgeons use either an incision on the belly or multiple smaller incisions. They also perform the surgery in a minimally invasive fashion. The surgery requires very careful dissection due to the steps involved. Furthermore, this keeps the uterus viable while eliminating cervical cancer. The general steps include:
- The surgeon dissects the uterus while the blood supply remains intact.
- They separate the cervix from the uterus.
- A stitch known as the cerclage is placed around the uterus base to secure it for fertility.
- The surgeon reconstructs the uterus to the top of the vagina.
Can you get pregnant after cervical cancer?
Yes. Pregnancy rates are very encouraging after a trachelectomy with close to 70 percent of women achieving pregnancy afterward. Some patients may require some reproductive assistance. For instance, they might need intrauterine insemination or in vitro. It is important to involve a reproductive specialty physician in these cases to offer guidance along the way. Also, patients will need to deliver via cesarean section because of the permanent cerclage placed at the base of the uterus to prevent premature delivery.
Dr. Jessica Stine is a gynecologic oncologist who is trained to perform trachelectomies on young women. Schedule a consultation with Dr. Stine by calling her office at 813-530-4950.
When you and your partner started to plan for a family, you probably hoped it didn’t take long. However, life doesn’t always go as planned. The stress of coping with fertility problems can become overwhelming. Furthermore, when you try to increase your chances of becoming pregnant, you can become stressed. This can also cause depression. According to a study conducted at Ohio State University, stress can reduce your odds of becoming pregnant by 29 percent. Learning how to manage your infertility depression and stress can significantly improve your chances at conception. Our experts provided three effective ways to cope with infertility depression and stress. These methods don’t just provide relief, but can actually help improve your chance of becoming pregnant.
1. Start practicing yoga
Yoga involves a series of meditation and deep-breathing exercises. These naturally help you reduce and relieve stress. Doing one or two 90-minute yoga sessions per week can help reduce your stress levels by as much as 30 percent, according to a study published in the International Journal of Yoga.
If you never took part in yoga, don’t stress! Enroll in a beginner’s class and progress from there. You can also find many helpful beginner yoga classes online. When you finally do become pregnant, consider enrolling in a prenatal yoga class so you can stay fit throughout pregnancy.
2. Engage in cardio exercise
Cardio exercises such as running, swimming, cycling, and dancing help improve blood flow and circulation. This improves fertility health. Plus, cardio exercise helps the neurons in your brain learn how to react to stress in a more healthy way. Learning this results in a decreased risk for long-term stress. The study, published in the Journal of Neuroscience, suggests engaging in cardio exercise for 30 minutes, five days per week.
3. Dive into a major project
Tackling a major project, either personal or work-related, can battle stress by helping you feel more responsible and in control of your life. Some couples who face fertility problems tend to feel as if they’ve lost control of their lives due to their inability to become pregnant. However, assuming a leadership position at work or in your personal life can naturally help reduce your stress levels.
Ask your boss if you can lead a new high-level work project, or start working on a personal project you’ve been meaning to start such as writing a book, cleaning out the garage, or sorting old photos into a scrapbook. As long as you don’t feel stressed tackling a project, this should help take your mind off of things and create a positive distraction.
Women’s Care Florida offers evaluation and testing that can help pinpoint the cause of infertility and determine which treatment would be appropriate based on your health history. Contact WCF to schedule an appointment and to learn more about how we can help you take care of you.
When partners start planning for a family, they hope it won’t take long. However, life may not go as planned. Coping with infertility can feel overwhelming. Furthermore, the added stress can reduce your chances of conceiving. This can add to your issues and thus cause depression. If you have issues conceiving, learn ways on how to cope with infertility depression and stress. Learning how to deal with infertility depression and stress can increase your odds by 29 percent. Nonetheless, if you still have issues, know many other causes of infertility exist. One might be your job.
How to increase your chances of becoming pregnant
A recent fertility study published in the Journal of Occupational and Environmental Medicine reveals how certain physically demanding jobs can affect women’s fertility. The study found that women with jobs that involve heavy lifting on a daily basis can reduce their ability to get pregnant, especially if they are obese. Additionally, researchers found that evening work or night shifts may negatively impact women’s fertility.
Before coming up with an analysis of causes of infertility, a team of researchers at the Harvard T.H. Chan School of Public Health studied over 470 women experiencing fertility issues and gathered information about their work-life, schedule, and the physical demands of their job. Researchers said that women planning a pregnancy should be aware of the risks associated with “non-day shift and heavy lifting” and how it could affect their reproductive health.
In honor of Infertility Awareness Week, we encourage women planning their pregnancy to learn more about their risks and what they can do to improve fertility. Read more about this study on CNN.
Women’s Care Florida can help
Women’s Care Florida offers services to help infertility with treatments. These include ovulation induction, surgery, artificial insemination, and assisted reproductive technologies (ART) such as in-vitro fertilization (IVF). Learn more about infertility evaluation, testing, and treatment, or schedule an appointment with a specialist at WCF today.
Endometriosis can be an uncomfortable and difficult condition for women to manage. One common symptom of endometriosis is unexplained infertility. This leaves many women wondering if they can conceive. In some cases, providers diagnose endometriosis when women visit their to address initial infertility. While a link does exist between endometriosis and the ability to get pregnant, not all women who have this condition cannot conceive.
Infertility can occur for reasons besides endometriosis
If you experience difficulty becoming pregnant, make an appointment with your healthcare provider. This way, you can rule out any other causes. Endometriosis can cause infertility. However, so can stress, obesity, and your partner’s health. Talk to a specialist to rule out any of these factors first.
Endometriosis surgery can help improve fertility
If you have endometriosis, talk to your physician about surgery. They can suggest laparoscopic surgery for treatment. During this surgery, providers diagnose your endometriosis. They can also cauterize or remove it. This can help improve your fertility increasing your chance of becoming pregnant.
Other methods for endometriosis infertility treatments
Sometimes, providers treat infertility using hormonal medications. Other methods include treating underlying causes such as thyroid problems. Contact your gynecologist to learn about means other than endometriosis treatments. Some women with endometriosis conceive with in-vitro fertilization (IVF).
If you have difficulty becoming pregnant, consult with your health care provider immediately to rule out endometriosis and other treatable causes. Having endometriosis can make conception more difficult, but not impossible. Together, you and your gynecologist can arrive at solutions and treatments that can improve your health — and your chances of becoming pregnant.
Women’s Care Florida Can Help
The Board-Certified Physicians at Women’s Care Florida are dedicated to providing the gold-star standard in women’s healthcare. Each of our Physician Care Groups has a distinctive style and practice that can be tailored to fit your individual needs. For more information about how WCF can help you take care of “you,” contact us to schedule an appointment.