For women who have suffered from tumors or cancer, pregnancy is something they look forward to but also something they fear because they don’t know whether they can give birth to a healthy baby. What if the tumor recurs during pregnancy? Pregnancy is a sacred and joyful thing because life is passed on from then on! What should women who have suffered from cervical cancer pay attention to when they are pregnant? The following professional advice from doctors will surely resolve your doubts. How to prevent uterine cancer 1. Advocate for late marriage and late childbearing For the best pregnancy quality, don't have too many abortions, try not to have an abortion before the age of 27, and delay the earliest age of sexual intercourse, which can reduce the incidence of uterine cancer. 2. Pay attention to women's personal hygiene, menstruation and sexual hygiene Limit the number of sexual activities per month and try not to have sex during menstruation or pregnancy. Even so, pay attention to the hygiene of both reproductive organs. It is best to wear a condom and refuse to use it with multiple partners. 3. If a man has a long foreskin, he must pay attention to local hygiene and cleanliness. If you can repair it regularly for a few days every month, it is best to have a circumcision, which can not only reduce the incidence of uterine cancer in women, but also prevent some male diseases. Now everyone knows the main causes of uterine cancer and how to prevent it. If you want to avoid this disease, you must start with yourself and maintain good personal hygiene. Effects of radiotherapy on ovarian function in women of childbearing age The ovaries are located in the pelvic cavity and are the organs that secrete female hormones. Radiation therapy for cervical cancer usually covers the entire pelvic cavity and requires a dose of 5,000 to 6,000 units, or even 7,000 to 8,000 units. The ovaries generally lose their function at a dose of more than 2,000 units. Fortunately, due to the rapid progress of laparoscopic technology, experienced laparoscopic surgeons are now able to use laparoscopic surgery to move the ovaries to an area outside the radiation therapy area before cervical cancer patients need to receive radiation therapy, which will avoid the damage of radiation therapy to ovarian function. However, it is still impossible to avoid the damage of radiation therapy to the reproductive function of the uterus. Effects of chemotherapy on ovarian function in women of childbearing age Whether chemotherapy affects ovarian function depends on the age of the woman when she receives chemotherapy and the dosage of the chemotherapy drugs. The older the woman is, the greater the degree of ovarian function will be affected. If a woman still has fertility after chemotherapy, she can be assured of pregnancy because according to statistics, there is no difference between babies born to mothers who receive chemotherapy and those born to mothers who do not receive chemotherapy. Treatment of early cervical cancer in women of childbearing age As for conservative treatment of cervical cancer, cervical conization can only be performed on microinvasive cervical cancer (clinical stage Ia1). For cervical cancer with an invasion depth of more than 3mm, radical hysterectomy is required. For women who have early cervical cancer before giving birth and want to retain their fertility, obstetricians and gynecologists have developed a radical hysterectomy with pelvic lymph node removal. The biggest advantage of this operation is that it preserves the uterus and preserves fertility. However, after radical hysterectomy, the chance of incomplete cervical closure is higher, which makes premature birth more likely. Therefore, cervical cerclage can be performed in the second trimester of pregnancy to prevent premature birth, or during this operation to prevent incomplete cervical closure. This requires the cooperation of the entire medical team, including doctors from various departments such as gynecology, pathology, obstetrics, and pediatrics. However, not every patient with cervical cancer is suitable for this operation. The clinical stage must be IA2 to early IB, there must be no lymph node metastasis, and it is best if the cancer cells do not invade the lymphatic vessels. Comparing the statistics of radical hysterectomy and traditional radical hysterectomy in various literatures, there is no difference in the cancer recurrence rate between the two. |
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