OK - receptor status and childbirth.
Your tumour is tested for receptors and a high proportion of women test positive for oestrogen receptors (ER+) and or progesterone receptors (ER+). If your tumour is ER+, then they usually try to decrease the circulating oestrogen in your body, treatment often being with Tamoxifen. Tamoxifen is sometimes given to women who are ER- but still PR+
Tamoxifen does interfere with fertility but is not considered safe birth control. You are warned not to get pregnant while taking Tamoxifen or any other hormone treatment prescribed by your oncologist.
So, on the one hand Tamoxifen and other hormone treatments can help you avoid cancer recurence, but to get pregnant you need to abandon their protection. Oestrogen and Progesterone hormone levels will be further increased by any hormonal fertility treatments given and by pregnancy itself if you are successful. Extra progesterone is produced during pregnancy by the placenta.
So, for women who already have one child but would like another, think seriously about whether or not it is fair to increase the chances that an existing child will grow up without a mother.
Although we keep hearing about the wonderful 5 year survival statitics, it is a sad fact that 50% of women with early breast cancer, still die of their disease eventually. Do you want to increase your risk of being in the 50% or of bringing the date forward?
For those who have never had a child, I can see that maybe the biological urge to have a child will be stronger than concern about the risks to the mother but you need to know what the risks are. You also need to think about what happens to that child if you don’t make it. Kylie has more than enough money to provide for any child she leaves behind and seems to have a close-knit family who would look after the child. I have little faith in her boyfriend but she probably thinks she has little time to find a more suitable father for the child?
Adopting might be an option for some, but obviously, it is harder to adopt if you have a life threatening illness. Fostering might be easier.
In my view, too much effort is put into protecting the fertility of young women sometimes, just because of the psychological trauma of them having to accept infertility. While so many on injections to suspress ovulation instead of surgical removal of ovaries? If you definitely won’t be having children and are premenopausal ER+, tell them your decision and get rid of your ovaries because it is much more effective at reducing oestrogen levels.
Sorry if some of this is upsetting to those who were still considering motherhood. Maybe some of you will still be mothers. However do understand what you are doing.