23 October 2011

Giuliana Rancic's Breast Cancer Discovery During IVF Attempt no 3

I started watching this reality show "Giuliana & Bill" since they too are going through IVF to have their babies. She was lucky to get pregnant in her 1st IVF attempt, but miscarried in 8 weeks. On her 2nd attempt she got OHSS after egg retrieval and was admitted in hospital on the same night. Hence they did a FET and it was BFN.


Giuliana & Bills latest season showed them going to fertility clinic to start their IVF 3. So I was curious to know if she suceeded in IVF 3. I googled " Giuliana's IVF 3 results". I was shocked to see the news about her new battle with breast cancer. It took me a while to digest this news  and I was in tears. Oh my Gosh, why do some of us has to battle with all these challenges on our journey towards becoming parents.  In the mean time I do envy some others whose life is so simple and perfect. However, It's not the case for me neither for poor Giuliana. I always have to battle to get what I want.....


She was on IVF stimulation, when her Dr ordered a mammogram for her. Because if she got pregnant, pregancy hormones would  aggravate cancer, even if there is  a small risk of cancerous cells. Unfornately test results came out positive. When she got her results she was on D7 of IVF treatment. Dr's had advised her to go ahead with egg retrieval and then do the breast cancer treatment. Now she has undergone surgery, and would be going through radiation treatment for 6 and half weeks. 


There is lot of debate and concern if IVF and cancer is related. I wish to point out below thoughts shared by Dr Nancy Snyderman & Dr. Mark Perloe, medical director at Georgia Reproductive Specialists. (Giuliana's IVF 3 Dr).
  • Could Rancic's breast cancer be connected in any way to the fertility treatment she had undergone?  
    "No," said Dr. Nancy Snyderman. The hormones used in both in vitro fertilization and birth control pills have been studied and "there's no known cause and effect," .
  • Should we all do mamogram before IVF?   “We certainly want people to have a full health evaluation before beginning fertility treatments,”  “But we wouldn’t recommend a mammogram unless there was a family history of breast cancer or a genetic risk.” As for routine mammograms in infertile women aged 26 to 36, Perloe said, that would be a mistake. That's because mammograms come with some radiation exposure. "So you have to balance the risk of exposure to radiation from testing against the likelihood that there might be something there," Perloe said.  
  • Despite the hormone paranoia, it's even possible that IVF might be protective. “The evidence is that IVF has no effect or lowers incidence, said Adrian V. Lee, a professor of pharmacology and chemical biology and director of the Women’s Cancer Research Center at the University of Pittsburgh’s Magee-Womens  Research Institute. “The largest study in Sweden -- of 25,000 women who had IVF compared to 1.4 million without  -- showed a 25 percent reduction in breast cancer and a 40 percent reduction in cervical cancer in those who had IVF.”
Source - Doctors : IVF not to blame for Rancic's breast cancer 
What I still don't know is "Why did Dr ordered Giuliana to do a mammogram?" Please let me know if any of you'll know the answer.

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