Fertility and Breast Cancer
- Hoda, 57, was diagnosed with breast cancer in February 2007 at age 43 after doctors discovered lumps in her breast tissue during a routine exam. She then underwent a mastectomy and reconstruction followed by five years of taking the drug tamoxifen (Nolvadex).
- She recently opened up about her path to motherhood following her cancer journey saying that she “just sobbed” when her oncologist told her fertility would be an issue given her age and breast cancer treatment. She later went on to adopt two girls.
- Fertility preservation practices for women can include egg and embryo freezing, ovarian tissue freezing, ovarian suppression and ovarian transposition.
- According to our experts, people with breast cancer face unique challenges when it comes to fertility. If they need chemotherapy, their eggs could be damaged. Also, if a women's treatment calls for medication to stop specific hormones, they might not be able to get pregnant for several years or, in some instances, 10.
Hoda, 57, received her breast cancer diagnosis in February 2007 after doctors discovered lumps in her breast tissue during a routine exam. She was 43 at the time and underwent a mastectomy and reconstruction followed by five years taking the drug tamoxifen (Nolvadex).
Read MoreHoda Kotb’s Journey to Motherhood
In a new conversation with Good Housekeeping, Kotb opened up about her fertility struggles after her battle with breast cancer."I remember that my oncologist called, and we were talking about freezing my eggs," Kotb said. "She basically said that given my age and (my breast cancer treatment), it was pretty close to a dead-end."
Her reaction was, understandably, filled with sorrow. And at that moment, she doubted she’d ever realize her dream of becoming a mother.
"I was in my room, and I just sobbed. I thought, ‘Well, that's that, isn't it?,’" Kotb said. "Like, you almost blame yourself. ‘Why didn't I do this? Why didn't I do that?’ So I just pushed it away because the reality seemed impossible to bear.
"How do you survive knowing you can't have what you desire and what you feel like you actually physically need?"
But fast forward to today, and Kotb is the mother of two girls: Haley, now 5, and Hope, now 3. She adopted Haley in 2017 and Hope two years later. And she thanks her now ex-fianceÌ, Joel Schiffman, for providing the support she needed to become a mother.
"I don't think I would've adopted if it hadn't been for Joel," she said of Schiffman. "Having a stable relationship in that moment was really important. Once that fell into place, it didn't seem as scary to me."
Kotb announced that she was no longer romantically involved with Schiffman in January, but the two have continued to co-parent their beloved daughters as friends.
Fertility and Cancer Treatment
Infertility can be a side effect of some cancer treatments, but there are options to consider. Fertility preservation, for example, is available to women of childbearing age. Options for women include:
- Egg and embryo freezing (the most common practice)
- Ovarian tissue freezing
- Ovarian suppression to prevent the eggs from maturing so that they cannot be damaged during treatment.
- Ovarian transposition, for women getting radiation to the pelvis, to move the ovaries out of the line of treatment.
Dr. Terri Woodard discusses your options for preserving fertility after a cancer diagnosis.
No matter what course of action you choose to take, it is important that all women feel comfortable discussing their options prior to cancer treatment.
In a previous conversation with SurvivorNet, Dr. Jaime Knopman, a reproductive endocrinologist at CCRM NY, says time is precious when dealing with fertility preservation for women with cancer. In other words, the sooner the better when it comes to having these important fertility conversations with your doctor.
"The sooner we start, the sooner that patient can then go on and do their treatment," Dr. Knopman said. "A lot of the success comes down to how old you are at the time you froze and the quality of the lab in which your eggs or embryos are frozen in."
Can I Have A Baby After Breast Cancer?
When it comes to breast cancer patients specifically, there are some unique challenges for women with the disease. Dr. Elizabeth Comen, a medical oncologist at Memorial Sloan Kettering Cancer Center, outlines them in a previous interview with SurvivorNet:
- Young women who need chemotherapy could have their fertility significantly affected because many chemotherapy drugs can damage a woman's eggs.
- If women are on a medication to stop the hormones which feed their specific kind of breast cancer, they may not be able to get pregnant for several years in some instances 10 years.
- Many stage four breast cancers need estrogen to grow. Pregnancy is a very, very high hormonal state, so it's not recommended in these cases.
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