How cancer treatment can affect fertility in women

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "How cancer treatment can affect fertility in women"

Transcription

1 How cancer treatment can affect fertility in women This information is an extract from the booklet Cancer treatment and fertility information for women. You may find the full booklet helpful. We can send you a free copy see page 8. Contents Cancer treatments and fertility Contraception Getting your fertility tested Hormone replacement therapy Getting support Cancer treatments and fertility The main treatments for cancer are chemotherapy, radiotherapy, surgery, hormonal therapy and targeted therapy. These treatments affect fertility by: damaging the eggs or ovaries affecting hormone production damaging or removing the womb. When I was diagnosed, we were trying for a baby and fertility was a big concern for me. I wanted to freeze my eggs but my doctor said that it would take some time to do and that we shouldn t delay treatment. He said I should focus on my life, not on a future life that might one day exist and he was right. Jenny Questions about cancer? Ask Macmillan Page 1 of 8

2 Chemotherapy Chemotherapy uses anti-cancer (cytotoxic) drugs to destroy cancer cells. It affects the way the ovaries work and can result in fewer or no eggs being produced. Your periods may become irregular or stop for a while (temporary infertility). It may take up to two years for them to come back again. Chemotherapy sometimes causes permanent infertility and an early menopause. The risk of infertility often depends on the following: Your age Younger women are more likely to remain fertile and their periods usually come back. Women over 35 already have a lower chance of getting pregnant as the number and quality of the eggs has started to decline naturally. The older you are and the closer you are to your natural menopause, the higher the risk of infertility. The drugs you have Some chemotherapy drugs, for example cyclophosphamide and chlorambucil, have a higher risk of causing infertility. Some drugs have a medium risk (doxorubicin and cisplatin) and others have little or no risk (vincristine and methotrexate). We have more information about individual chemotherapy drugs. The dose Higher doses of chemotherapy, especially before stem cell transplants, are more likely to affect fertility. In some cases, it may be possible to choose a chemotherapy treatment that s less likely to affect fertility. Your cancer specialist will explain if this is an option for you. Chemotherapy can reduce the number of eggs you have. So even if your periods do come back, your menopause may start 5 10 years earlier than usual. This means you have a shorter time to try to get pregnant. Radiotherapy Radiotherapy treats cancer by using high-energy rays to destroy cancer cells. It can cause fertility problems by: affecting egg production damaging the ovaries or womb reducing hormones (oestrogen and progesterone). Page 2 of 8 Questions about cancer? Ask Macmillan

3 Radiotherapy to the pelvis Radiotherapy given directly to the ovaries or the womb will cause permanent infertility. Pelvic radiotherapy may indirectly damage the ovaries or the womb. This may stop the ovaries from working or cause an increased risk of miscarriage or premature birth if the womb lining is damaged. If radiotherapy is given close to the ovaries, it may be possible to protect the ovaries with a lead shield. Occasionally, surgeons can move the ovaries out of the way to protect them from the radiation. This is a minor operation called ovarian transposition, which can be done by keyhole surgery. Your risk of infertility depends on the dose of radiotherapy you have and your age. The risk increases as you get older. There s a higher risk of infertility when you have both radiotherapy and chemotherapy. Total body irradiation (TBI) TBI is radiation given to the whole body before a donor stem cell or bone marrow transplant. This usually causes permanent infertility. Radiotherapy to the brain Radiotherapy to the pituitary gland at the base of the brain can sometimes affect fertility. The pituitary gland controls the hormones (gonadotrophins) that make the ovaries produce oestrogen and progesterone. If your pituitary gland has been affected, you can be given gonadotrophin injections to help you get pregnant. We have more information on gonadotrophin injections in the Cancer treatment and fertility information for women booklet. Radiotherapy to areas of the body not mentioned here won t cause infertility. Surgery Operations that can affect fertility are: having your womb removed (hysterectomy) having your ovaries removed surgery to the pituitary gland. Surgery to the womb or ovaries Questions about cancer? Ask Macmillan Page 3 of 8

4 For some cancers, surgery can involve removing the womb (hysterectomy), the ovaries, or both. Occasionally, women with a very small, early cancer of the cervix can have an operation called a trachelectomy. This operation removes most of the cervix but leaves the womb. It may then be possible to become pregnant and have a baby afterwards. This is a specialised operation and it s only done in a few hospitals by very experienced surgeons. Young women with germ cell tumours of the ovary may sometimes have only the affected ovary removed to preserve their fertility. Women who have both ovaries removed may be able to have eggs or fertilised eggs (embryos) frozen. Having your eggs collected may mean delaying the start of your cancer treatment, so it may not always be possible. We have more information on preserving your fertility in the Cancer treatment and fertility information for women booklet. Women who have their womb removed may still have fertility options. This involves a surrogate (a woman who carries the baby in her womb for you). Surgery to the pituitary gland Surgery may be used to remove a tumour in the pituitary gland at the base of the brain. The pituitary gland controls the hormones (gonadotrophins) that make the ovaries produce oestrogen and progesterone. Surgeons try to remove the tumour while leaving some of the gland, but this isn t always possible. When the whole gland is removed, this affects the hormones (gonadotrophins) that stimulate the ovaries. This can make you menopausal. This is not because you have run out of eggs, but because your ovaries aren t being stimulated to release them. You may be given gonadotrophin injections to stimulate your ovaries to start producing eggs again. Hormonal therapy Hormonal therapy reduces the levels of hormones in your body or blocks their effect on cancer cells. It is usually used to treat breast cancer. Hormonal therapy can affect your fertility but any effects are usually temporary. The drugs commonly used are tamoxifen and goserelin (Zoladex ). Page 4 of 8 Questions about cancer? Ask Macmillan

5 Zoladex will stop your periods, but they usually come back again about six months after you stop taking it. But if you re close to your natural menopause, your periods may not come back. Tamoxifen can make your periods irregular or stop, but they usually start again a few months after you ve finished taking it. However, taking tamoxifen can also increase your fertility, so it s important to use effective contraception during treatment (see below). This is because there s a risk it may harm an unborn baby. Tamoxifen is often taken for at least five years, which may be a concern if you want to get pregnant sooner. You can talk about any concerns with your cancer doctor. Some women go through their natural menopause while taking hormonal therapy. You may not be aware of this because the side effects of hormonal therapy are similar to the symptoms of the menopause. Targeted therapy Targeted therapies are a newer type of cancer treatment. It s not yet known exactly what effect they have on fertility. However, the drug bevacizumab (Avastin ) is known to increase the risk of infertility. If you re taking a targeted drug, you will be advised not to get pregnant during treatment and for a while after. Talk to your cancer doctor about this. Contraception It s important to use effective contraception during cancer treatment to avoid getting pregnant. This is because the treatments may harm a developing baby. Even if your periods stop during treatment, this doesn t mean you can t get pregnant as they could start again. If you ve had breast cancer, your doctor will advise you not to take the contraceptive pill or use a coil (IUD) that contains hormones. This is because they could encourage breast cancer cells to grow. Your cancer doctor or specialist nurse will give you more advice about this. Questions about cancer? Ask Macmillan Page 5 of 8

6 After treatment There is no evidence that cancer treatments harm children that you have after treatment. But doctors usually advise you to use contraception for about a year after treatment. Some women may be advised to wait up to two years after treatment before trying to get pregnant. This is because if a cancer is going to come back, it s often within this time. If you re thinking of getting pregnant, it s a good idea to talk to your cancer doctor first. Getting your fertility tested You might decide to have tests done after your cancer treatment is finished to check your fertility. Women who have had cancer treatment are usually referred for testing after six months of trying to get pregnant. This is because of their risk of early menopause. Your doctor will ask you about your periods and take some blood tests. These tests can show how many eggs you have left in your ovaries (ovarian reserve) or how close to your menopause you are. Taking the contraceptive pill or hormone replacement therapy (HRT) can affect the results of these tests. Let your doctor know if you re taking either of these. If you are having periods, you can have a blood test to measure a hormone called follicle stimulating hormone (FSH). This can only be done on certain days in your menstrual cycle as FSH levels change during the month. Another test can measure anti-mullerian hormone (AMH). This can be done at any time in the menstrual cycle and even if you re not having periods. Some women s periods can come back months or years after cancer treatment. This is more likely if you re younger but it also depends on the treatment you ve had. If your periods change, you can have these tests repeated. Your fertility specialist will talk to you about the options available to you. Page 6 of 8 Questions about cancer? Ask Macmillan

7 Hormone replacement therapy (HRT) How cancer treatment can affect fertility in women If you have an early menopause because of cancer treatment, you may be offered HRT. This helps prevent problems associated with the menopause, such as thinning of the bones (osteoporosis) and heart disease. HRT is not recommended after breast cancer because it may increase the risk of it coming back or of getting another breast cancer. Some women s fertility comes back while they re on HRT, so if you don t want to get pregnant, use reliable contraception. Some women may be able to take the oral contraceptive pill instead of HRT. The pill replaces your hormones and also prevents pregnancy. You can discuss this in more detail with your doctor. There are organisations that support women who have an early menopause, such as The Daisy Network (visit daisynetwork.org.uk). Getting support Infertility can be very distressing to live with. It may seem especially hard when you re already coping with cancer. Not knowing if your fertility will come back can be difficult to cope with. Some women find it helpful to talk things over with their partner, family or friends. Others may prefer to talk to a counsellor. Your GP or cancer specialist can arrange this. Many hospitals also have specialist nurses who can offer support, and fertility clinics usually have a counsellor you can talk to. Talking to other women in a similar position may help you feel less alone. You can talk to people online. Our online community at macmillan.org.uk/community is a good place to talk to other women who may be in a similar situation. Our cancer support specialists can also tell you about organisations that can help. You can talk things over with our cancer support specialists free on , Monday Friday, 9am 8pm. Questions about cancer? Ask Macmillan Page 7 of 8

8 More information and support More than one in three of us will get cancer. For most of us it will be the toughest fight we ever face. And the feelings of isolation and loneliness that so many people experience make it even harder. But you don t have to go through it alone. The Macmillan team is with you every step of the way. To order a copy of Cancer treatment and fertility information for women or any other information mentioned here, visit be.macmillan.org.uk or call We make every effort to ensure that the information we provide is accurate and up to date but it should not be relied upon as a substitute for specialist professional advice tailored to your situation. So far as is permitted by law, Macmillan does not accept liability in relation to the use of any information contained in this publication, or thirdparty information or websites included or referred to in it. Macmillan Cancer Support Registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Registered office 89 Albert Embankment, London, SE1 7UQ REVISED IN NOVEMBER 2013 Planned review in 2016 Page 8 of 8 Questions about cancer? Ask Macmillan

Cancer and fertility for young women

Cancer and fertility for young women Cancer and fertility for young women This information is an extract from the booklet Fertility support for young people affected by cancer. You may find the full booklet helpful. We can send you a free

More information

Hormonal therapy for breast cancer

Hormonal therapy for breast cancer Hormonal therapy for breast cancer This information is an extract from the booklet Understanding breast cancer in women. You may find the full booklet helpful. We can send you a copy free see page 6. Contents

More information

Contents. The womb. The womb (uterus) and reproductive organs. About womb cancer Risk factors and causes

Contents. The womb. The womb (uterus) and reproductive organs. About womb cancer Risk factors and causes About the womb and womb cancer This information is an extract from the booklet Understanding womb (endometrial) cancer. You may find the full booklet helpful. We can send you a free copy see page 6. The

More information

Fertility testing for young men

Fertility testing for young men This information is an extract from the booklet Fertility support for young people affected by cancer. You may find the full booklet helpful. We can send you a free copy see page 5. Contents Fertility

More information

Effect of breast cancer treatment

Effect of breast cancer treatment Effect of breast cancer treatment on the heart 1 Effect of breast cancer treatment on the heart This information is from the booklet Managing the late effects of breast cancer treatment. You may find the

More information

Cancer treatments and hair loss

Cancer treatments and hair loss Cancer treatments and hair loss This information is an extract from the booklet Coping with hair loss. You may find the full booklet helpful. We can send you a free copy see page 5. Contents Chemotherapy

More information

Fertility and breast cancer treatment

Fertility and breast cancer treatment Fertility and breast cancer treatment This booklet is about breast cancer treatment and fertility. It describes how treatment for primary breast cancer may affect a woman s fertility and possible ways

More information

How treatment is planned Giving your consent The benefits and disadvantages of treatment Second opinion

How treatment is planned Giving your consent The benefits and disadvantages of treatment Second opinion Treatment overview for lung cancer This information is an extract from the booklet Understanding lung cancer. You may find the full booklet helpful. We can send you a free copy see page 5. Contents How

More information

Hormonal therapy for locally advanced prostate cancer

Hormonal therapy for locally advanced prostate cancer Hormonal therapy for locally advanced prostate cancer This information is an extract from the booklet Understanding locally advanced prostate cancer. You may find the full booklet helpful. We can send

More information

Treatment overview for primary bone cancer

Treatment overview for primary bone cancer Treatment overview for primary bone cancer This information is an extract from the booklet Understanding primary bone cancer. You may find the full booklet helpful. We can send you a free copy see page

More information

Chemotherapy for breast cancer

Chemotherapy for breast cancer Chemotherapy for breast cancer This information is an extract from the booklet Understanding breast cancer in women. You may find the full booklet helpful. We can send you a free copy see page 8. Contents

More information

Managing your worries about cancer returning

Managing your worries about cancer returning Managing your worries about cancer returning This information is for anyone who has had treatment to cure cancer and is worried about it coming back. It is an extract from the booklet Worrying about cancer

More information

Deciding whether to become a parent

Deciding whether to become a parent Deciding whether to become a parent This information is an extract from the booklet, Relationships, sex and fertility for young people affected by cancer. You may find the full booklet helpful. We can

More information

Effect of breast cancer treatment

Effect of breast cancer treatment Effect of breast cancer treatment on the bones 1 Effect of breast cancer treatment on the bones This information is from the booklet Managing the late effects of breast cancer treatment. You may find the

More information

Goserelin (Zoladex) Treatment and side effects

Goserelin (Zoladex) Treatment and side effects Goserelin (Zoladex) This booklet explains what goserelin is, when it may be prescribed, how it works and what side effects may occur. Goserelin is the generic (non branded) name of the drug and how it

More information

How are clinical trials carried out?

How are clinical trials carried out? How are clinical trials carried out? This information is from the booklet Understanding cancer research trials (clinical trials). You may find the full booklet helpful. We can send you a free copy see

More information

Chemotherapy for pancreatic

Chemotherapy for pancreatic Chemotherapy for pancreatic cancer 1 Chemotherapy for pancreatic cancer This information is from the booklet Understanding pancreatic cancer. You may find the full booklet helpful. We can send you a free

More information

Late effects of breast cancer treatment menopausal symptoms 1

Late effects of breast cancer treatment menopausal symptoms 1 Late effects of breast cancer treatment menopausal symptoms 1 Late effects of breast cancer treatment menopausal symptoms This information is from the booklet Managing the late effects of breast cancer

More information

Treatment of colon cancer

Treatment of colon cancer Treatment of colon cancer This information is an extract from the booklet, Understanding colon cancer. You may find the full booklet helpful. We can send you a copy free see page 5. Contents How treatment

More information

Causes of fatigue (tiredness)

Causes of fatigue (tiredness) Causes of fatigue (tiredness) 1 Causes of fatigue (tiredness) This information is from the booklet Coping with fatigue (tiredness). You may find the full booklet helpful. We can send you a free copy see

More information

Chemotherapy for acute myeloid leukaemia (AML) 1

Chemotherapy for acute myeloid leukaemia (AML) 1 Chemotherapy for acute myeloid leukaemia (AML) 1 Chemotherapy for acute myeloid leukaemia (AML) This information is from the booklet Understanding acute myeloid leukaemia. You may find the full booklet

More information

Fertility and Women With Cancer

Fertility and Women With Cancer Fertility and Women With Cancer Although not everyone ends up having children, most people want to at least have the option. Cancer and treatment for cancer can sometimes make this harder or even take

More information

Diagnosing secondary breast cancer

Diagnosing secondary breast cancer Diagnosing secondary breast cancer This information is from the booklet Understanding secondary breast cancer. You may find the full booklet helpful. We can send you a free copy see page 6. Contents Tests

More information

What is DCIS? Contents. The breasts

What is DCIS? Contents. The breasts This information is an extract from the booklet Understanding ductal carinoma in situ (DCIS). You may find the full booklet helpful. We can send you a free copy see page 6. Contents The breasts What is

More information

Chemotherapy for non-small cell lung cancer

Chemotherapy for non-small cell lung cancer Chemotherapy for non-small cell lung cancer This information is an extract from the booklet Understanding lung cancer. You may find the full booklet helpful. We can send you a free copy see page 3. Contents

More information

Hormonal therapy for advanced prostate cancer

Hormonal therapy for advanced prostate cancer Hormonal therapy for advanced prostate cancer This information is an extract from the booklet Understanding advanced (metastatic) prostate cancer. You may find the full booklet helpful. We can send you

More information

About cancer of unknown primary (CUP)

About cancer of unknown primary (CUP) About cancer of unknown primary (CUP) This information is an extract from the booklet Understanding cancer of unknown primary. You may find the full booklet helpful. We can send you a free copy see page

More information

Fertility-related choices. A decision aid for younger women with early breast cancer

Fertility-related choices. A decision aid for younger women with early breast cancer Fertility-related choices A decision aid for younger women with early breast cancer Fertility-related choices Section 1 About this booklet 1 Overview 3 Summary of fertility options 4 Section 2 Some background

More information

Planning your care and support Having a holistic needs assessment

Planning your care and support Having a holistic needs assessment Planning your care and support Having a holistic needs assessment This information is from the booklet Planning your care and support Having a holistic needs assessment. We can send you a free copy see

More information

Types of treatment for breast cancer

Types of treatment for breast cancer Types of treatment for breast cancer Useful information for cancer patients Contents This information is about the main treatments used to treat breast cancer. There are sections on The main treatments

More information

Diagnosis of primary bone cancer

Diagnosis of primary bone cancer This information is an extract from the booklet Understanding primary bone cancer. You may find the full booklet helpful. We can send you a free copy see page 9. Contents How bone cancer is diagnosed Further

More information

Chemotherapy for lung cancer

Chemotherapy for lung cancer This information is an extract from the booklet Understanding lung cancer. You may find the full booklet helpful. We can send you a free copy see page 8. Contents Chemoradiation Small cell lung cancer

More information

What is ovarian cancer and how common is it?

What is ovarian cancer and how common is it? Information for you Published in January 2016 (next review date: 2019) Ovarian cancer Who is this information for? This information is for you if you have ovarian cancer or want to know more about it.

More information

After pelvic radiotherapy

After pelvic radiotherapy After pelvic radiotherapy in women 1 After pelvic radiotherapy in women This information is from the booklet Pelvic radiotherapy in women managing side effects during treatment. You may find the full booklet

More information

Surgery for ovarian cancer

Surgery for ovarian cancer This information is an extract from the booklet Understanding cancer of the ovary. You may find the full booklet helpful. We can send you a free copy see page 8. Contents About surgery About surgery Type

More information

What is CIN (cervical intra-epithelial) and what causes it?

What is CIN (cervical intra-epithelial) and what causes it? What is CIN (cervical intra-epithelial) and what causes it? This information is an extract from the booklet Understanding CIN (cervical intra-epithelial neoplasia). You may find the full booklet helpful.

More information

Chemotherapy for head and neck cancers

Chemotherapy for head and neck cancers Chemotherapy for head and neck cancers This information is from the booklet Understanding head and neck cancers. You may find the full booklet helpful. We can send you a free copy see page 7. Contents

More information

Breast cancer during pregnancy

Breast cancer during pregnancy Breast cancer during pregnancy This booklet is for women who have been diagnosed with breast cancer during pregnancy or within a year of giving birth. This is often referred to as pregnancy-associated

More information

This information explains the advice about menopause that is set out in NICE guideline NG23.

This information explains the advice about menopause that is set out in NICE guideline NG23. Information for the public Published: 12 November 2015 nice.org.uk About this information NICE guidelines provide advice on the care and support that should be offered to people who use health and care

More information

Treating Hodgkin s Lymphoma A Quick Guide

Treating Hodgkin s Lymphoma A Quick Guide Treating Hodgkin s Lymphoma A Quick Guide Contents This is a brief summary of the information on Treating Hodgkin s lymphoma from CancerHelp UK. You will find more detailed information on the website.

More information

How insurance works How cancer can affect buying insurance Unfair discrimination

How insurance works How cancer can affect buying insurance Unfair discrimination This information is an extract from the booklet Insurance, which is part of the financial guidance series. You may find the full booklet helpful. We can send you a free copy see page 5. Contents What is

More information

Patient information. Goserelin Zoladex Breast Services Directorate PIF 1005 V3

Patient information. Goserelin Zoladex Breast Services Directorate PIF 1005 V3 Patient information Goserelin Zoladex Breast Services Directorate PIF 1005 V3 What is Goserelin? Goserelin is a tried and tested drug used to treat breast cancer. It can be used alone or given with other

More information

Breast cancer in families. This booklet explains what a family history of breast cancer is, and what this may mean for you or your family.

Breast cancer in families. This booklet explains what a family history of breast cancer is, and what this may mean for you or your family. Breast cancer in families This booklet explains what a family history of breast cancer is, and what this may mean for you or your family. Worried Lorem about ipsum breast dolore cancer estes Contents

More information

Graft-versus-host disease (GvHD)

Graft-versus-host disease (GvHD) Graft-versus-host disease (GvHD) This information is an extract from the booklet Understanding donor stem cell (allogeneic) transplants. You may find the full booklet helpful. We can send you a free copy

More information

Breast cancer during pregnancy

Breast cancer during pregnancy Breast cancer during pregnancy This booklet is for women who have been diagnosed with breast cancer during pregnancy or within a year of giving birth. This is often referred to as pregnancy-associated

More information

Bladder changes after bowel cancer treatment

Bladder changes after bowel cancer treatment Bladder changes after bowel cancer treatment This information is from the booklet Managing the late effects of bowel cancer treatment. You may find the full booklet helpful. We can send you a free copy

More information

How testicular cancer is diagnosed

How testicular cancer is diagnosed How testicular cancer is diagnosed This information is from the booklet Understanding testicular cancer. You may find the full booklet helpful. We can send you a free copy see page 6. Contents What happens

More information

Risk factors and symptoms of advanced (metastatic) prostate cancer 1

Risk factors and symptoms of advanced (metastatic) prostate cancer 1 Risk factors and symptoms of advanced (metastatic) prostate cancer 1 Risk factors and symptoms of advanced (metastatic) prostate cancer This information is from the booklet Understanding advanced (metastatic)

More information

Surgery for kidney cancer

Surgery for kidney cancer This information is an extract from the booklet Understanding kidney cancer. You may find the full booklet helpful. We can send you a free copy see page 5. Contents Removing part of the kidney (partial

More information

Radioactive iodine treatment for thyroid cancer

Radioactive iodine treatment for thyroid cancer Radioactive iodine treatment for thyroid cancer This information is an extract from the booklet, Understanding thyroid cancer. You may find the full booklet helpful. We can send you a copy free see page

More information

How cancer treatments may affect your appearance

How cancer treatments may affect your appearance How cancer treatments may affect your appearance 1 How cancer treatments may affect your appearance This information is from the booklet Feel more like you. You may find the full booklet helpful. We can

More information

Hormone Replacement Therapy in Adolescent Girls

Hormone Replacement Therapy in Adolescent Girls Hormone Replacement Therapy in Adolescent Girls Hormone Replacement Therapy is often needed for the treatment of hypogonadism in girls. Hypogonadism occurs when your body is not making enough sex hormones.

More information

Understand the risks, explore your options and plan for your future.

Understand the risks, explore your options and plan for your future. Understand the risks, explore your options and plan for your future. 1 Table of Contents Introduction MEN Fertility Risks 3 Fertility Preservation Options 4 Possible Fertility Outcomes 4 Parenthood Options

More information

Planning for Parenthood After a Cancer Diagnosis

Planning for Parenthood After a Cancer Diagnosis Cancer and Fertility Planning for Parenthood After a Cancer Diagnosis Cancer and Fertility Cancer and its treatments affect the body, including the reproductive system, in different ways. Chemotherapy,

More information

Cancer treatment and your heart

Cancer treatment and your heart Cancer treatment and your heart This information is an extract from the booklet Heart health and cancer treatment. You may find the full booklet helpful. We can send you a free copy see page 9. Contents

More information

Contents. Overview. Removing the womb (hysterectomy) Overview

Contents. Overview. Removing the womb (hysterectomy) Overview This information is an extract from the booklet Understanding womb (endometrial) cancer. You may find the full booklet helpful. We can send you a free copy see page 9. Overview Contents Overview Removing

More information

About the kidneys and kidney cancer

About the kidneys and kidney cancer About the kidneys and kidney cancer This information is an extract from the booklet Understanding kidney cancer. You may find the full booklet helpful. We can send you a free copy see page 5. The kidneys

More information

pill progesto progestogen-on progestogen-only progestogen-only p progestogen-only p progestogen-only pill gestogen-only pill the progestogenonly

pill progesto progestogen-on progestogen-only progestogen-only p progestogen-only p progestogen-only pill gestogen-only pill the progestogenonly your guide to the progestogenonly pill Helping you choose the method of contraception that is best for you progestogen-o progesto progestogen-only pill progestogen-only progestogen-only p progestogen-only

More information

Surgery for breast cancer in men

Surgery for breast cancer in men Surgery for breast cancer in men This information is an extract from the booklet Understanding breast cancer in men. You may find the full booklet helpful. We can send you a free copy see page 9. Contents

More information

Drug treatments to protect your bones

Drug treatments to protect your bones Drug treatments to protect your bones This information is an extract from the booklet, Bone health. You may find the full booklet helpful. We can send you a copy free see page 5. Contents Bisphosphonates

More information

Surgery for kidney cancer

Surgery for kidney cancer This information is an extract from the booklet, Understanding kidney cancer. You may find the full booklet helpful. We can send you a copy free see page 5. Surgery is often the only treatment that is

More information

Other treatments for chronic myeloid leukaemia

Other treatments for chronic myeloid leukaemia Other treatments for chronic myeloid leukaemia This information is an extract from the booklet Understanding chronic myeloid leukaemia. You may find the full booklet helpful. We can send you a copy free

More information

Timing is everything. Ovulation Tracking. Patient Information Booklet

Timing is everything. Ovulation Tracking. Patient Information Booklet Timing is everything Ovulation Tracking Patient Information Booklet Contents Getting pregnant naturally 3 Getting pregnant the basics 3 What is ovulation? 3 Menstrual cycle 4 When does ovulation take place?

More information

The brain structure and function

The brain structure and function The brain structure and function This information is an extract from the booklet Understanding brain tumours. You may find the full booklet helpful. We can send you a copy free see page 5. Contents Introduction

More information

Symptoms and diagnosis of breast cancer

Symptoms and diagnosis of breast cancer Symptoms and diagnosis of breast cancer This information is an extract from the booklet Understanding breast cancer in women. You may find the full booklet helpful. We can send you a free copy see page

More information

Breast cancer. Breast cancer: English

Breast cancer. Breast cancer: English Breast cancer: English Breast cancer This fact sheet is about how breast cancer is diagnosed and treated. Most people diagnosed with breast cancer are women. Men can get breast cancer too but it is rare.

More information

How prostate cancer is diagnosed

How prostate cancer is diagnosed How prostate cancer is diagnosed This information is an extract from the booklet Having tests for prostate cancer. You may find the full booklet helpful. We can send you a free copy see page 7. Contents

More information

treatment Clomiphene IUI OI with FSH

treatment Clomiphene IUI OI with FSH non-ivf treatment Clomiphene IUI OI with FSH Clomiphene Citrate (CC) and Letrozole treatment Clomiphene was the original fertility pill and is still widely used for women who don t have regular menstrual

More information

implant contraceptiv contraceptive contraceptive raceptiv contraceptive implant contraceptive contraceptive ontraceptive implant ontraceptive im

implant contraceptiv contraceptive contraceptive raceptiv contraceptive implant contraceptive contraceptive ontraceptive implant ontraceptive im your guide to the contraceptive implant Helping you choose the method of contraception that is best for you contra ontraceptive im contraceptive implant mpl ceptive contraceptive contracepti ntraceptive

More information

The Contraceptive Injection Depo Provera - long acting and reliable contraception

The Contraceptive Injection Depo Provera - long acting and reliable contraception The Contraceptive Injection Depo Provera - long acting and reliable contraception A service provided by page 2 of 8 What is Depo Provera? Depo Provera is a very effective long acting contraceptive injection

More information

After Your Kidney Transplant Advice for women

After Your Kidney Transplant Advice for women After Your Kidney Transplant Advice for women Exceptional healthcare, personally delivered Now that you have received a kidney transplant there are probably many questions you wish to ask about the changes

More information

BREAST CANCER. How to spot the signs and symptoms and reduce your risk. cruk.org

BREAST CANCER. How to spot the signs and symptoms and reduce your risk. cruk.org BREAST CANCER How to spot the signs and symptoms and reduce your risk cruk.org Breast cancer is the most common cancer in the UK. Around 8 in 10 breast cancer cases are in women aged 50 and over. Men can

More information

Macmillan Grants Loans and grants from the government and local councils Loans and grants for heating costs Other grants

Macmillan Grants Loans and grants from the government and local councils Loans and grants for heating costs Other grants This information is an extract from the booklet Help with the cost of cancer. You may find the full booklet helpful. We can send you a free copy see page 7. Contents Macmillan Grants Loans and grants from

More information

Surgery for thyroid cancer

Surgery for thyroid cancer This information is an extract from the booklet Understanding thyroid cancer (follicular and papillary). You may find the full booklet helpful. We can send you a free copy see page 8. Surgery Contents

More information

Radiotherapy for vulval cancer

Radiotherapy for vulval cancer This information is an extract from the booklet Understanding cancer of the vulva. You may find the full booklet helpful. We can send you a copy free see page 6. Contents External radiotherapy Internal

More information

Breast reconstruction using an implant

Breast reconstruction using an implant Breast reconstruction using an implant This information is from the booklet Understanding breast reconstruction. You may find the full booklet helpful. We can send you a free copy see page 10. Contents

More information

FERTILITY AND AGE. Introduction. Fertility in the later 30's and 40's. Am I fertile?

FERTILITY AND AGE. Introduction. Fertility in the later 30's and 40's. Am I fertile? FERTILITY AND AGE Introduction Delaying pregnancy is a common choice for women in today's society. The number of women in their late 30s and 40s attempting pregnancy and having babies has increased in

More information

Diagnosing invasive and advanced bladder cancer 1

Diagnosing invasive and advanced bladder cancer 1 Diagnosing invasive and advanced bladder cancer 1 Diagnosing invasive and advanced bladder cancer This information is from the booklet Understanding invasive and advanced bladder cancer. You may find the

More information

Are you worried about prostate cancer? 1

Are you worried about prostate cancer? 1 Are you worried about prostate cancer? 1 Are you worried about prostate cancer? This information is from the leaflet Are you worried about prostate cancer? You may find the full leaflet helpful. We can

More information

Abnormal Uterine Bleeding

Abnormal Uterine Bleeding Abnormal Uterine Bleeding WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Abnormal uterine bleeding is one of the most common reasons women see their doctors. It can occur at any age and has

More information

Tubular breast cancer

Tubular breast cancer Tubular breast cancer This booklet is for people who would like more information about tubular breast cancer. It describes what tubular breast cancer is, its symptoms, how a diagnosis is made and the possible

More information

Invasive lobular breast cancer

Invasive lobular breast cancer Invasive lobular breast cancer This booklet is about invasive lobular breast cancer. It describes what invasive lobular breast cancer is, the symptoms, how it s diagnosed and possible treatments. Diagnosed

More information

FACTS. No. 23 in a series providing the latest information for patients, caregivers and healthcare professionals

FACTS. No. 23 in a series providing the latest information for patients, caregivers and healthcare professionals LEUKEMIA LYMPHOMA MYELOMA FACTS Fertility No. 23 in a series providing the latest information for patients, caregivers and healthcare professionals Highlights The term fertility is used to describe the

More information

Questions about your pain medicines

Questions about your pain medicines Questions about your pain medicines This information is an extract from the booklet Controlling cancer pain. You may find the full booklet helpful. We can send you a free copy see page 6. Contents Common

More information

Managing anxiety about body image 1

Managing anxiety about body image 1 Managing anxiety about body image 1 Managing anxiety about body image This information is from the booklet Body image and cancer. You may find the full booklet helpful. We can send you a free copy see

More information

I will be having surgery and radiation treatment for breast cancer. Do I need drug treatment too?

I will be having surgery and radiation treatment for breast cancer. Do I need drug treatment too? What is node-positive breast cancer? Node-positive breast cancer means that cancer cells from the tumour in the breast have been found in the lymph nodes (sometimes called glands ) in the armpit area.

More information

Depression. Questions about cancer? Ask Macmillan Page 1 of 8

Depression. Questions about cancer? Ask Macmillan Page 1 of 8 This information is an extract from the booklet, The emotional effects of cancer. You may find the full booklet helpful. We can send you a copy free see page 8. It s not unusual to have times when you

More information

Types of life insurance Buying life insurance How cancer can affect buying life insurance Getting money early from life insurance

Types of life insurance Buying life insurance How cancer can affect buying life insurance Getting money early from life insurance This information is an extract from the booklet Insurance, which is part of the financial guidance series. You may find the full booklet helpful. We can send you a free copy see page 6. Contents Types

More information

Surgery for oesophageal cancer

Surgery for oesophageal cancer Surgery for oesophageal cancer This information is an extract from the booklet Understanding oesophageal cancer (cancer of the gullet). You may find the full booklet helpful. We can send you a free copy

More information

progestog progestogen stogen-only pill progestogen progestogen-only pill he progestogen-only pill progestogen-onl progestogen-o the progestogenonly

progestog progestogen stogen-only pill progestogen progestogen-only pill he progestogen-only pill progestogen-onl progestogen-o the progestogenonly your guide to the progestogenonly pill Helping you choose the method of contraception that is best for you the progestogen rogestogen-only the progestogen-only pill progestogen-only pill stogen-only progestoge

More information

Breast screening results and assesment

Breast screening results and assesment Breast screening results and assesment This information is an extract from the booklet, Understanding breast screening. You may find the full booklet helpful. We can send you a copy free see page 9. Contents

More information

After surgery for breast cancer

After surgery for breast cancer After surgery for breast cancer This information is an extract from the booklet Understanding breast cancer in women. You may find the full booklet helpful. We can send you a free copy see page 7. Contents

More information

About lung cancer. Contents. The lungs

About lung cancer. Contents. The lungs This information is an extract from the booklet Understanding lung cancer. You may find the full booklet helpful. We can send you a free copy see page 7. The lungs Contents The lungs Types of lung cancer

More information

Diagnosing ovarian cancer

Diagnosing ovarian cancer This information is an extract from the booklet Understanding cancer of the ovary. You may find the full booklet helpful. We can send you a free copy see page 10. Diagnosis Contents Diagnosis Types of

More information

Diagnosis of ovarian cancer

Diagnosis of ovarian cancer Diagnosis of ovarian cancer This information is an extract from the booklet, Understanding cancer of the ovary. You may find the full booklet helpful. We can send you a copy free see page 5. Usually you

More information

Going home from hospital

Going home from hospital This information is an extract from the booklet Going home from hospital. You may find the full booklet helpful. We can send you a free copy see page 13. Contents What type of support am I likely to need?

More information

Risk-reducing oophorectomy. Information for patients

Risk-reducing oophorectomy. Information for patients Risk-reducing oophorectomy Information for patients This leaflet is designed to help explain what is involved with a riskreducing (prophylactic) oophorectomy. You may be considering this because you have

More information

Radiotherapy for breast cancer

Radiotherapy for breast cancer Radiotherapy for breast cancer This information is an extract from the booklet Understanding breast cancer. You may find the full booklet helpful. We can send you a copy free see page 6. Contents Radiotherapy

More information

How lung cancer is diagnosed

How lung cancer is diagnosed This information is an extract from the booklet, Understanding lung cancer. You may find the full booklet helpful. We can send you a copy free see page 5. Contents At the hospital CT (computerised tomography)

More information