Fertility issues in women and men and thyroid cancer treatment

Thousands of people across the globe are diagnosed with thyroid cancer and this number is only found to be increasing every year. Fortunately, there are available reputed hospitals and highly qualified doctors specialized in this domain to provide thyroid cancer treatment. But such treatments might affect women and men’s future fertility. However, the issue is suffered more by women and the male to female ratio the world over suffering from this issue is about 1:3. Young women especially those during their reproductive years are found to suffer from this ailment. The treatment offered by the reputed doctors for thyroid cancer does yield wonderful results. Advanced medical technology has made it possible to provide more 10 years of life to majority of women after successful diagnosis. Lack of deficiency in the diet or neck radiation in the past might lead to the development of thyroid cancer. According to the experts, some thyroid cancer types might arise due to the person inheriting some abnormal gene.

Different thyroid cancer types present

  • Thyroid lymphoma
  • Anaplastic cancer
  • Medullary cancer
  • Follicular cancer
  • Papillary cancer

Types in details, diagnosing and treatment

Follicular and papillary cancers are termed to be less invasive tumours. These are experienced by majority of the women who suffer from thyroid cancer. Since they are known to carry along oestrogen receptors, they do respond to oestrogen. The latter is likely to promote thyroid cancer cell development. Usually, these are suspected and diagnosed after neck examination. Then, it is followed by iodine scan or ultrasound scan after which biopsy is conducted. Total thyroidectomy-surgical thyroid removal of thyroid gland will be required to treat thyroid cancer, and then with radioactive iodine for ablating remnants of any thyroid. After treatment, there will be necessary long term medical follow up with the Best IVF specialist in Hyderabad.

Thyroid cancer treatment effects on the ovary region

Thyroidectomy and then conducting thyroid hormone replacement has not shown any kind of problems causing women and men to suffer from future fertility. However, quality and number of eggs present in the ovary is likely to be affected by radioactive iodine. The patient’s age when availing the treatment and dosage taken of the radioactive iodine is likely to determine the effect. Irregular menses or transient amenorrhea is suffered by about 20-30 percent of women globally, which is said to take place around three months after completing treatment. After six months, normal menses are said to resume its functions. Although permanent ovarian failure has been regarded to be a rare case, women over the age of 40 are likely to develop time during the treatment process. Also are reported increased miscarriage incidences during the initial year of completing the treatment. But except miscarriages, there is not found any other evidence show that exposure to radioiodine tends to affect subsequent pregnancy outcome as well as the new-born child’s health.

Fertility preservation options

Sperm freezing should be considered by men who are interested with future fertility before availing radioiodine treatment. Fertility preservation should also be taken into consideration by women if their age is over 35 years and they are required to undergo radioactive iodine. Ovarian reserve is likely to be reduced with radioiodine treatment. Also, pregnancy should be avoided for about a year after treatment. the available options to preserve women fertility includes egg retrieval and ovarian stimulation followed by embryo or egg freezing. To avoid exposure of oestrogen during stimulation, there can be modified ovarian stimulation. Consulting fertility preservation specialist before treatment can benefit women and men suffering from thyroid cancer. The fertility specialist should be discussed about the effects on the gonad region and the different methods to preserve future fertility.

Radioactive iodine treatment and its effects on testes region

The effects associated with radioactive iodine treatment can be much more severe among men. It is stated to be concerned with the amount of radioactive iodine dosage received by the person. Reduction in treatment in sperm count and testosterone might occur. It may also include permanent reduction in testosterone and sperm count levels. At times, men who have availed dosage in large amounts tend to sustain permanent damage in the testes region, but with ejaculated sperm azospermia absence. No evidence has been found about the effects caused by radioactive iodine on the new-born children. Still men are advised not to father children immediately after treatment for about 6 months.

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