Tuesday, November 27, 2007

Breast Cancer and Pregnancy

Although it is rare for breast cancer to strike younger women, the fact remains that all women are at risk. And for those of childbearing age, the first sign and symptoms of breast cancer leading to a diagnosis can not only be upsetting and unexpected, but complicated as well.

Developing breast cancer at a younger age—in a woman's 40s, 30s, even 20s—will mean making important and difficult decisions about one's life and future perhaps much sooner than originally expected.

One concern is developing breast cancer during pregnancy, which although rare, can still occur. In this case, the treatment chosen will not only affect the patient and her body, but the growing baby inside her as well. It will depend on what stage of pregnancy she is in (first, second or third trimester) and what stage her cancer is in—such as whether or not it's advanced.

Most pregnant women can have treatment for their breast cancer without affecting the baby. But some might be advised by their obstetrician or health-care practitioner—or even decide themselves—to terminate the pregnancy, more so if the pregnancy is in its earlier stages, in order to receive certain treatments that would be too risky otherwise. But it is essential to remember that it is a woman's own decision—it is not medically necessary to terminate a pregnancy if the expectant mother is diagnosed with breast cancer. All it does is limit treatment options. Breast cancer itself will not affect the fetus—only certain tests and treatments will.
Tip! Be cautious in using birth control pills after your pregnancy. Consult your doctor immediately if you noticed changes in your skin tone.

Generally speaking, tamoxifen, chemotherapy, radiation, and other drug-related therapies are avoided if the woman is pregnant because of their associated risks with birth defects. Tamoxifen, especially, is considered very unsafe because it is a hormonal therapy and is never recommended if the woman is pregnant or planning on conceiving.

Surgery—either a lumpectomy or mastectomy—is the most common and preferred method of treatment for breast cancer in pregnant women.

Another concern is whether or not breast cancer survivors can or should go on to have children after treatment and recovery. It's a very controversial issue with firm advocates on both sides of the debate.

There are two main questions here, for both the medical and health community and breast cancer survivors wanting their own children: 1) Do certain breast cancer treatments affect fertility?; and 2) Is it actually considered safe to conceive and carry a baby to term following breast cancer and breast cancer treatments?

As far as fertility goes, there is no definite answer here. For chemotherapy, it depends on the age and what specific drug was used—some affect fertility more than others. And taking tamoxifen after chemotherapy to prevent recurrence is not recommended if the woman desires to become pregnant right away. Although tamoxifen is sometimes used as a fertility treatment, there is evidence to suggest that it damages developing embryos, and therefore is not considered safe to use.
Tip! Tender Nipples and Breasts - one of the very early signs of pregnancy is a feeling of tenderness in the breasts and nipples. The good news is that these feelings of tenderness go away as the body becomes accustomed to the new hormone levels.

Many doctors caution these women to wait several years to ensure receiving the best breast cancer treatment possible and to go past the point of the biggest threat of breast cancer recurrence. But some women decide to go ahead and have babies anyway, since it's so important to them.

An informed woman has a distinct advantage over her fears. Arm yourself about Breast Cancer and be ready to fight and beat any possible diagnosis.

Birth Control Pills, Pregnancy and Acne - A Complete How-To Guide

Acne first comes about during adolescence, when hormone levels begin to increase.This sudden flucturation of hormones causes the sebaceous glands to go into overdrive. They start generating increased levels of such oils that end up becoming clogged inside the glands. When the oils can't escape, acne results!

So it goes without saying that when there is a fluctuation in the hormone levels within the body, it can trigger an increase in sebaceous oil production, and therefore increases the chance that an outbreak of acne will likely occur. With women, acne breakouts are common while they are taking birth control pills and also when they become pregnant.

Using Birth Control Pills to Control Acne

Women who do take the birth control pill and who notice that their acne is getting worse should discuss the situation with their doctor. Different types of oral contraception have differing levels of hormones and one side effect of some contraception is an increase in acne. Switching to another brand may bring acne back under control.

Any woman who is healthy, and is at least age 15, who has begun menstruating and who has decided to start using oral contraception can discuss getting a prescription for a birth control pill with their doctor. There are several brands that help clear up acne but only one so far has been approved by the FDA for treatment of acne and that is Ortho Tri-cyclen.
Tip! Vaginal discharge during pregnancy is normal unless it is accompanied by a stinging, burning or itching sensation.

It is important to note that taking the birth control pill as a way to treat acne should be the last alternative, after all other acne treatment options have been attempted without success. The birth control pill does have side effects and it must be taken exactly as prescribed to be effective.

Acne During Pregnancy

Women who have become pregnant often report an increase in acne, too. Many changes occur within a woman's body in an effort to properly prepare the body for the growing fetus. The two primary female hormones at work in every woman's body are progesterone and estrogen. Progesterone is more androgenic than estrogen, which basically means it is more like the hormones found in men. Increased progesterone during pregnancy can cause the sebaceous glands to produce more sebaceous oils than normal and that is what can cause outbreaks of acne.
Tip! We usually associate pregnancy with food cravings. Often a pregnant woman will crave a specific food at a specific time and then before she knows it the cravings will just disappear.

If possible, the best way to handle acne during pregnancy is to realize that it is a short-term problem that will usually go away once the baby is born. If this isn't possible, discuss your options over with a dermatologist who has experience working with patients during their pregnancy. After going through your situation, the dermatologist will be able to suggest treatment options that'll make you happier with your appearance and that won't harm your baby.

John Wellington is from AcneHelpZone.com providing people suffering from acne with quick, relevant and free acne resources that they can download and take away with them for easy reference.