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Cancer is increasing in prevalence with improved detection and diagnostic techniques so prolonging the life and improving the quality of life.It has been observed to be affecting more of younger age groups so can have a lethal effect of the future fertility by destruction of their gametes (sperm or eggs). As doctor we feel need of spreading awareness at multidisciplinary level regarding preservation of future fertility which needs counseling and guidance at preliminary stages only before the damage happens.
- Oocyte/Egg cryopreservation
- Sperm Cryopreservation
- Embryo freezing
Method will vary as per the clinical status
Egg freezing means removing mature eggs and freezing them for later. This process may also be called egg banking . Its done in cancer patients preferably before exposure to chemo and radiotherapy.Its same like an IVF cycle except that embryos are not formed.Here medications are given to stimulate the development of multiple follicles in the ovaries.
Type of cancer can also decide the protocols.
Besides there are now more patient friendly mild stimulation protocol especially in estrogen sensitive cancers
The eggs are retrieved from the patient using a transvaginal technique under anesthesia and are kept frozen for future use by a method called vitrification.
Frozen eggs can be kept frozen for years(5 years as per ICMR but not specified for cancer cases) till the woman decides to use them for conception and once the patient is ready to get pregnant, the eggs are thawed and then fertilized using ICSI, an assisted reproductive technology that injects one sperm directly into the egg. The embryos (fertilized eggs) will then be transferred into the woman’s uterus (womb) in order to achieve a pregnancy.
It has the highest success rate compared to any other treatment. Its like normal IVF when eggs are retrieved and mixed with sperms. Once fertilized, the embryos (fertilized eggs) grow in the laboratory for 3-5 days until they are suitable for freezing.
Sperm Freezing is an effective and simplest way for men who have gone through puberty to store sperm for future use. Many men can store sperm (either from natural ejaculate or from a TESA sample
I have tumor on beside of knee since 6-7 years. It is benign tumors. Sometimes it had been grown, and painful. After some days it come back to normal size and painless. In later stage it can be malignant or not? It it dangerous to me? Please give me your opinion.
Is lymph nodes in kidney means cancer? Ultrasound shows - few non specific lymph nodes in right iliac fossa bigger measuring 12x5 mm.
How does cancer occurs? How can we identify the cancer. What are the precautions taken to prevent from cancer?
I am 18 year old and I want to know the symptoms of cancer so can you tell me please. It will be a big thanks from my side.
He Is in bad condition due to extra enlarge prostate of size 117 please tell me any medicine name which will work immediately.
I am 19 years old male, having blood with stool. Blood is not coming mixed with stool, coming separately Condition of blood: normal fresh red liquid Condition of stool: normal yellow. No Pain At All. Is it cancer? I want the matter to be clear to me. But Today When I was Stooling there was no blood at all like before.
Good morning, I am Dr Dinesh Singh I am director of Radiation Oncology at Max Hospital, Vaishali. Today we are going to discuss about cancer, the cancer is a group of about 100 disease different diseases and it is basically the cells they start developing, multiplying and then they do not stop first they grow locally and there and then they spread out to different parts and what are the different symptoms of the cancers, well it depends upon which part of the body the cancer is developing like we are discussing about the brain tumors that the patient might have difficulty in vision, he may be having headache, he may be having vomiting or he may be having fits. Then to further investigate we need do a contrast study of the MRI then we diagnosed and then we keep recording it. For head and neck cancers like they can wear ulcer or a soar which doesn't heal, there can be a change in the voice the person might have difficulty in swallowing or so these are the early symptoms of cancers originating into the head and neck area. Then we further investigate we take a biopsy and then we diagnose the patient. For breast cancer, the earliest symptoms is a painless lump usually in Cancer in early stages pain is not there, so whenever there is a lump in a breast it should be investigated to allowed cancer. More than 90% of the lump in the breast on cancerous but it should be evaluated and cure, when we come to the lung cancer the common symptom is a mild cough. So any cough which is not getting the cure for more than two weeks it should be taken seriously it can be tuberculosis, it can be cancerous, so it has to be evaluated and investigative. Talking about the GI cancers of the intestinal cancers, well it present like indigestion or the patient is not getting well some might discomfort in the abdomen. So any problem persisting more than 2 weeks should be investigated by ultrasound, by endoscopy and then we do it. Carcinoma of the rectum and anal canal usually present with a bleeding associated with the stools or without stool should not be confused with the piles because they have the same presentation. So any problem persisting for more than 2 weeks is the thumb rule has to be investigated diagnosed and they have to be treated. Once we see that there is a problem then what we do we have to do an investigation and the first investigation is the biopsy many times a general people they have a false notion that if a biopsy is done then cancer will spread, well it is absolutely wrong. The biopsy is a must and it does not spread cancer. Thank you.