Tuesday, August 06, 2013

IVF Patients Should Gather All the Information About Their Condition

An interesting patient has been referred to me by a gynecological oncologist. She had been diagnosed with early endometrial adenocarcinoma. She was sent to Malpani Clinic because she wanted to have her reproductive options assessed.

She was a 24-year old woman with polycystic ovarian disease and had been married for just six months. She had complaints of heavy menstrual periods so she had gone to a doctor for an evaluation where a polyp had been detected in her uterus. For this, she had had a hysteroscopy performed. To her chagrin, her histopathology report indicated that she had complex hyperplasia with atypia with early endometrial adenocarcinoma.

On further evaluation, it was revealed that the cancer was localized and non-invasive. Since, she wanted to complete her family she wanted to know whether her uterus could be saved. Usually in such cases she would be advised to get her uterus surgically removed by undergoing a hysterectomy. Apart from being standard medical procedure , this would be safe advise for her doctors to give her, as it would keep the doctor safe from reprisals in case the cancer spread if she did not undergo the surgery. She could sue her doctor for putting her health at risk as it is a widely accepted fact that cancerous tissue is meant to be removed. Even if they want to, doctors are reluctant to prescribe non-standard procedures because they are afraid of getting into trouble.

However, I took a different approach. I advised the patient to learn extensively about her condition- adenocarcinoma, and its treatments and also about polycystic ovarian disease, fertility, infertility and IVF. I said that being an IVF specialist, I do not have much knowledge about endometrial cancer; and while her gynecological oncologist ( cancer specialist) may know a lot about the cancer , he may not know much about IVF. Therefore, she needed to educate herself about her own problem.

If you need to educate yourself about IVF, please send me your medical details by filling in the form at www.drmalpani.com/malpaniform.htm so that I can guide you better !

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