Can you get pregnant after recovering from breast cancer? Although there is no evidence that having children will affect the prognosis of breast cancer patients, when choosing whether and when to have children, the risk of disease recurrence and the impact of treatment on offspring must be fully considered, and sufficient communication with the patient is also required. (1) Patients with breast carcinoma in situ can consider having children after completing surgery and radiotherapy. (2) Patients with node-negative invasive breast cancer may consider having children 2 years after surgery. (3) Patients with invasive breast cancer with positive lymph nodes may consider having children 5 years after surgery. (4) For patients who need adjuvant endocrine therapy, endocrine therapy (such as Noradrenaline, tamoxifen or toremifene, etc.) should be stopped 3 months before conception, and endocrine therapy can be continued after breastfeeding ends. Whether breast cancer patients can have children is a more complicated question. If the estrogen receptor (ER) and progesterone receptor (PR) test results are negative, that is, the patient does not need endocrine therapy (if one or both of ER and PR test results are positive, the patient needs endocrine therapy), we recommend that she should not get pregnant within three years after surgery and chemotherapy, because the incidence of tumor recurrence and metastasis is relatively high in the first three years. If after three years, the patient is in good physical condition and has the desire to have children, I think she can get pregnant. |
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