A deeply emotional question that many young women survivors of cancer often ponder is whether it is safe for them to become pregnant. Fortunately, in most cases, the answer tends to be affirmative. Natural methods can assist women in conceiving after a cancer diagnosis; however, numerous factors must be assessed prior to receiving approval to proceed.
Delaying family aspirations
Receiving a cancer diagnosis can abruptly derail the hopes for starting a family, presenting a daunting reality for young couples. Conversations about baby names and nursery designs are replaced by medical consultations and a series of tests. Breast, cervical, melanoma, lymphoma, and acute leukemia are among the most frequently diagnosed cancers in women at reproductive age. It’s important to remember that men are also affected, with around 1,000 cases of testicular cancer diagnosed among Canadian men each year.
Impact of chemotherapy
Chemotherapy can significantly impact the body and raises concerns when considering pregnancy. During treatment, menstrual cycles may become irregular or cease completely, and damage to the ovaries could lead to temporary or permanent infertility. Moreover, women who postpone having children may find themselves facing menopause while still receiving chemotherapy.
Craig Herrington, ND, from the Ottawa Integrative Cancer Centre, emphasizes the importance of considering various factors when treating young women undergoing chemotherapy. “Breast cancer is the predominant cancer I encounter in women of reproductive age, and while chemotherapy can affect egg quality, there are numerous steps we can take to help safeguard fertility,” he notes.
His recommendations include abstaining from smoking, maintaining a healthy weight, reducing caffeine intake, and incorporating certain flavonoids into the diet. “Additionally, we advocate for pomegranate to enhance uterine blood flow and the use of acupuncture to promote optimal bodily function,” he adds.
Getting ready for a baby
Women may need to wait between six months to five years post-cancer treatment before attempting to conceive. Particularly, those diagnosed with breast cancer might undergo hormone therapy lasting up to a decade following their primary treatment.
While many young cancer survivors voice apprehensions regarding pharmaceutical therapies, natural medicine can also help alleviate side effects and prepare the body for conception. Herrington mentions that flaxseeds, which are rich in lignans, can exert anti-estrogenic effects when consumed in sufficient quantities. Moreover, melatonin administered in doses significantly higher than those used for sleep may decrease estrogen receptor binding.
Getting the green light
A favorable health assessment following an extensive cancer treatment journey is indeed a reason for joy, especially as it signals the opportunity to begin family planning. However, even in the absence of medical concerns, cancer survivors may still have lingering doubts about the possibility of passing the disease onto their children.
Research indicates that only 5 to 10 percent of cancers are hereditary and can be transmitted from parent to child. Women may also worry whether pregnancy could trigger a return of cancer, particularly regarding breast cancer and the hormonal changes that occur during gestation. Nonetheless, research suggests that pregnancy does not negatively affect survival rates for women who have had breast cancer, matching those who have not been diagnosed.
The guidelines to prepare for pregnancy are consistent for all women, including those who have overcome cancer. Following a nutritious diet, adhering to a regular fitness regimen, engaging in stress-relief activities, and developing a supplementation strategy with a qualified naturopath can enhance a woman’s chances of conception.
Foods to enhance fertility
Daily intake of a prenatal vitamin with a minimum of 400 mcg of folic acid is essential, along with the following dietary strategies.
Embrace healthy fats
Avoid trans fats that are often found in partially hydrogenated oils, which have been associated with a higher risk of infertility. Instead, focus on healthy fats from sources like vegetable oils, nuts, seeds, and oily fish such as salmon and sardines. The Mediterranean diet is a well-supported option to consider.
Opt for plant-based proteins
Decrease meat consumption and increase your intake of beans, peas, and soy products or tofu. A study from the Delaware Institute for Reproductive Medicine recommends that women should aim for protein to make up 25 to 30 percent of their total dietary intake while keeping carbohydrates around 40 percent to promote high-quality embryos and eggs.
Boost your B vitamins
Securing an adequate variety of B vitamins is crucial, whether from supplements or whole foods. Leafy greens like spinach, parsley, and kale; whole grains like oats, quinoa, and brown rice; as well as proteins like eggs and shellfish can provide a comprehensive array of B vitamins.
Choose slow-digesting carbs
Promote stable blood sugar and insulin levels through carbohydrates that are digested slowly and high in fiber. Whole grains, fruits, vegetables, and legumes contribute to a favorable environment for conception.
Select whole dairy
Enjoying the occasional treat like ice cream is acceptable. Evidence suggests that whole milk, as opposed to skim, may enhance fertility, and a serving of full-fat yogurt can be beneficial as well.
Focus on natural sources of iron
Whole grain cereals, spinach, tomatoes, beans, and pumpkin provide excellent plant-based sources of iron, which is vital for creating optimal conditions for conception.
Limit sugary drinks
Staying hydrated with water is recommended while trying to conceive. While small amounts of coffee and tea are generally fine, it’s best to avoid sugary sodas, which have been linked to ovulatory infertility.
