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I'm 32 and Diagnosed with Breast Cancer: Can I Still Have Kids After Treatment?

Dr Nandita

Dr Nandita Palshetkar  |71 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Jan 03, 2025

Dr Nandita Palshetkar is the medical director of Bloom IVF.
She is a pioneer in ICSI, laser hatching, spindle view, oocyte and embryo freezing, IMSI, in vivo vaginal culture, metabolomics, embryoscope and spindle check technologies.
With over 30 years of experience, Dr Nandita is managing 10 centres across India.
She has written over 100 papers, edited 25 books and given over 1,000 lectures and speeches.
She has also won several prestigious awards, including the Dronacharya Award (2021), the Bharat Gaurav Award at the House of Commons in London (2014) and the Inspiring Gynaecologists of India (2018) to name a few.
Dr Nandita completed her MBBS from Grant Medical College and Sir J J Hospital, Mumbai, and her MD in obstetrics and gynaecology from Mumbai University."... more
Asked by Anonymous - Dec 31, 2024Hindi
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Hi Doctor, I’m 32 years old and recently got diagnosed with breast cancer. I’ve been advised to start treatment soon, but I’ve always wanted to have kids, and I’m unsure if I’ll be able to have children after this treatment. My doctor mentioned the option of egg freezing, and I’m a little confused about the whole process. On top of that, my partner and I are also thinking about waiting a few more years before starting a family due to career and personal goals. I’m really torn about what to do. Could you help me understand the whole egg freezing process? What are the risks involved, how long does it take, and how much does it cost? Should I freeze my eggs now, or is it okay to wait until later?

Ans: Hello, sorry to hear about your breast cancer, but the best part is breast cancer is curable
Since you are 32 years of age, and you might undergo chemo, radiotherapy which might affect your fertility. So best option is to undergo egg freezing.
Before we start the procedure, we need to know your AMH level (to know your ovarian reserve) and basic blood work up to get your fitness fir the procedure
The procedure normally needs first 15 days of your cycle where you will need to undergo 3 to 4 scans to monitor the egg growth (follicle growth) and injections from day 2 of your periods till the eggs grow and mature
These injections are safe in form of LH OR FSH hormone. It can sometimes cause
Nausea vomit, constipation, mood swings, low abdominal heaviness, breast tenderness.
These are experienced by some.
Once you are ready then you will be admitted as day care procedure and egg retrieval done under short anesthesia. You will be able to go home in 6 to 7 hours.
During this period of stimulation, you can do regular routine work.
Zumba, jumping and heavy activities avoided during stim.
So, freezing your eggs now is a better. Option
If you delay further the quality and quantity of eggs gets hampered.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Nandita

Dr Nandita Palshetkar  |71 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Dec 09, 2024

Asked by Anonymous - Dec 05, 2024Hindi
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Hi Doctor, I am Neha, 34 years old, a marketing professional from Mumbai. My job can be pretty stressful at times. My husband and I have been trying to conceive for the past three years without success. Recently, my gynecologist suggested we consider IVF. While I’m open to the idea, I’m also anxious about what lies ahead. Could you please explain what tests and evaluations are required before starting the IVF process? I want to know if these tests can predict the chances of success. Also, considering my hectic work schedule, should I make any lifestyle changes to improve our odds?
Ans: Hello Neha considering you are 34 years, and trying to conceive since 3 years
First of all, you both need to undergo blood test
1) Neha:
CBC, Blood Sugars, Vit B12, Vit D, Liver and Kidney screening, hormonal (TSH AND PROLACTIN), viral markers test and most important AMH LEVEL to know ovarian reserve.
Usg pelvis tp rule out fibroids, ovarian cyst
2) Husband:
Blood Sugars
Semen analysis to know about sperm count, motility.
These tests can give an idea about both. Fertility level and any particular supplements needed and chances of successful pregnancy.
Considering hectic lifestyle certain measures to be taken
1) stress management: yoga, walks, exercise, meditation
2) adequate sleep at least 6 to 7 hours
3) Adequate exercise and walks which releases endorphins , dopamine and good hormones needed for hormone circulation.
4) Good nutrition:
Contains antioxidants
Vit B6, Vit B12, Omega 3 fatty acids, iron, zinc, magnesium, calcium, Vit D, green veggies, fruits, eggs, chicken for protein
5) your gynec will advise certain supplements to be taken for additional supplements.

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Dr Nandita

Dr Nandita Palshetkar  |71 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Dec 16, 2024

Asked by Anonymous - Dec 06, 2024Hindi
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My name is Priya, and I’m 36 years old. I work at a school in Pune. My husband and I have recently decided to go ahead with IVF after struggling with unexplained infertility for four years. While I’m hopeful about becoming a mother, I’m also quite nervous about the ovarian stimulation process and the egg retrieval procedure. Could you please explain the potential risks and side effects of these steps? I have read about complications like ovarian hyperstimulation syndrome. I want to be as informed and prepared as possible before we start this journey. Thank you for your guidance.
Ans: Hello Priya, since you are 36 years, married since 4 years, primary infertility, yes, ivf is a better option.
Many patients have lots of myths regarding ivf treatment. But with modern injections and process of egg retrieval it's not that difficult as it seems to be.
The injections which have to be given for 10 to 12 days are either intramuscular in the muscle) or subcutaneous (just below the skin). Easy to be taken. We get injections in PEN form too like insulin injection which is easy to operate and can be self-injected. The effects of the injections are till the process. It doesn't have long lasting side effects.
The main side effects:
1) nausea vomit
2) breast tenderness
3) bloating
4) headache
5) mood swings and hot flushes
6) fatigue
7) pain after egg retrieval
8) cramping
9) constipation due to progesterone therapy
10) ovarian hyperstimulation
Ovarian hyperstimulation syndrome (OHSS) occurs when fertility drugs overstimulate the ovaries, causing them to swell and release chemicals into the bloodstream.
Symptoms:
Severe abdominal pain.
Severe, persistent nausea and vomiting.
Blood clots.
Decreased urination.
Shortness of breath.
Tight or enlarged abdomen.
To consult the doctor if above symptoms to decide if need of hospitalization
So, tat investigations and necessary treatment can be done
But with regular ultrasound and modern injections, ohss is become very rare and treatable

..Read more

Latest Questions
Nayagam P

Nayagam P P  |4488 Answers  |Ask -

Career Counsellor - Answered on May 06, 2025

Career
Sir , i got 67000crl rank and 20000obc rank in jee mains . I also got 18000 rank in vit. I am also going to write cusat, met and bitsat , i think i might not crack jee advance . i am hoping to pursue mechanical or electrical, Could sir kindly tell me its scope. From my current options which college should i choose among GFTI,s North east nits, VIT, MET, BITSAT for me to develop a good career
Ans: Rohan, considering your JEE performance, disregard BITSAT as it requires a minimum score of 250 out of 390 for admission into Mechanical Engineering or Electrical branches. Designate CUSAT as your primary selection if your Home State is Kerala and you qualify for OBC Category consideration. Compile a list of 4-5 esteemed colleges affiliated with CUSAT that possess commendable placement records. Secondly, prioritize GFTIs and North East NITs over alternatives such as VIT and MET. Regarding GFTIs and NITs, it is prudent to examine the placement records of the past three years and assess them prior to selecting preferences in JoSAA. Consider MET as your final alternative. Here is a step-by-step guide for predicting your chances of admission into NIT, IIIT, or GFTI following the JEE Main results.

Step 1: Collect Your Key Details
Before starting, note down the following details:

Your JEE Main percentile
Your category (General-Open, SC, ST, OBC-NCL, EWS, PwD categories)
Preferred institute types (NIT, IIIT, GFTI)
Preferred locations (or if you're open to any location in India)
List of at least 3 preferred academic programs (branches) as backups (instead of relying on just one option)
Step 2: Access JoSAA’s Official Opening & Closing Ranks
Go to Google and type: JoSAA Opening & Closing Ranks 2024
Click on the first search result (official JoSAA website).
You will land directly on JoSAA’s portal, where you can enter your details to check past-year cutoffs.
Step 3: Select the Round Number
JoSAA conducts five rounds of counseling.
For a safer estimate, choose Round 4, as most admissions are settled by this round.
Step 4: Choose the Institute Type
Select NIT, IIIT, or GFTI, depending on your preference.
If you are open to all types of institutes, check them one by one instead of selecting all at once.
Step 5: Select the Institute Name (Based on Location)
It is recommended to check institutes one by one, based on your preferred locations.
Avoid selecting ‘ALL’ at once, as it may create confusion.
Step 6: Select Your Preferred Academic Program (Branch)
Enter the branches you are interested in, one at a time, in your preferred order.
Step 7: Submit and Analyze Results
After selecting the relevant details, click the ‘SUBMIT’ button.
The system will display Opening & Closing Ranks of the selected institute and branch for different categories both Home State (HS) i.e. State you belong to & also Other State (OS).
Step 8: Note Down the Opening & Closing Ranks
Maintain a notebook or diary to record the Opening & Closing Ranks for each institute and branch you are interested in, separately for HS & OS Categories for a quick reference.
This will serve as a quick reference during JoSAA counseling.
Step 9: Adjust Your Expectations on a Safer Side
Since Opening & Closing Ranks fluctuate slightly each year, always adjust the numbers for safety.
Example Calculation:
If the Opening & Closing Ranks for NIT Delhi | Mechanical Engineering | OPEN Category show 8622 & 26186 (for Home State), consider adjusting them to 8300 & 23000 (on a safer side).
If the Female Category rank is 34334 & 36212, adjust it to 31000 & 33000.

Follow this approach for Other State candidates and different categories.
Pro Tip: Adjust your expected rank slightly lower than the previous year's cutoffs for realistic expectations during JoSAA counseling.

Can This Method Be Used for JEE April & JEE Advanced?
Yes! You can repeat the same steps after your April JEE Main results to refine your admission possibilities.
You can also follow a similar process for JEE Advanced cutoffs when applying for IITs.

Want to Learn More About JoSAA Counseling?
If you want detailed insights on JoSAA counseling, engineering entrance exams, preparation strategies, and engineering career options, check out EduJob360’s 180+ YouTube videos on this topic!

Hope this guide helps! All the best for your admissions!

Follow RediffGURUS to Know more on 'Careers | Health | Money | Relationships'.

...Read more

Nayagam P

Nayagam P P  |4488 Answers  |Ask -

Career Counsellor - Answered on May 06, 2025

Career
what are the college options i can look up to at 91.8% in jee and 1.21 lakh crl
Ans: Valerica, Providing precise admission chances for each student can be challenging. Some reputed educational websites offer ‘College Predictor’ tools where you can check possible college options based on your percentile, category, and preferences. However, for a more accurate understanding, here’s a simple yet effective 9-step method using JoSAA’s past-year opening and closing ranks. This approach gives you a fair estimate (though not 100% exact) of your admission chances based on the previous year’s data.

Here is, How to Predict Your Chances of Admission into NIT or IIIT or GFTI After JEE Main Results – A Step-by-Step Guide.

Step-by-Step Guide to Check Your Admission Chances Using JoSAA Data
Step 1: Collect Your Key Details
Before starting, note down the following details:

Your JEE Main percentile
Your category (General-Open, SC, ST, OBC-NCL, EWS, PwD categories)
Preferred institute types (NIT, IIIT, GFTI)
Preferred locations (or if you're open to any location in India)
List of at least 3 preferred academic programs (branches) as backups (instead of relying on just one option)
Step 2: Access JoSAA’s Official Opening & Closing Ranks
Go to Google and type: JoSAA Opening & Closing Ranks 2024
Click on the first search result (official JoSAA website).
You will land directly on JoSAA’s portal, where you can enter your details to check past-year cutoffs.
Step 3: Select the Round Number
JoSAA conducts five rounds of counseling.
For a safer estimate, choose Round 4, as most admissions are settled by this round.
Step 4: Choose the Institute Type
Select NIT, IIIT, or GFTI, depending on your preference.
If you are open to all types of institutes, check them one by one instead of selecting all at once.
Step 5: Select the Institute Name (Based on Location)
It is recommended to check institutes one by one, based on your preferred locations.
Avoid selecting ‘ALL’ at once, as it may create confusion.
Step 6: Select Your Preferred Academic Program (Branch)
Enter the branches you are interested in, one at a time, in your preferred order.
Step 7: Submit and Analyze Results
After selecting the relevant details, click the ‘SUBMIT’ button.
The system will display Opening & Closing Ranks of the selected institute and branch for different categories both Home State (HS) i.e. State you belong to & also Other State (OS).
Step 8: Note Down the Opening & Closing Ranks
Maintain a notebook or diary to record the Opening & Closing Ranks for each institute and branch you are interested in, separately for HS & OS Categories for a quick reference.
This will serve as a quick reference during JoSAA counseling.
Step 9: Adjust Your Expectations on a Safer Side
Since Opening & Closing Ranks fluctuate slightly each year, always adjust the numbers for safety.
Example Calculation:
If the Opening & Closing Ranks for NIT Delhi | Mechanical Engineering | OPEN Category show 8622 & 26186 (for Home State), consider adjusting them to 8300 & 23000 (on a safer side).
If the Female Category rank is 34334 & 36212, adjust it to 31000 & 33000.

Follow this approach for Other State candidates and different categories.
Pro Tip: Adjust your expected rank slightly lower than the previous year's cutoffs for realistic expectations during JoSAA counseling.

Can This Method Be Used for JEE April & JEE Advanced?
Yes! You can repeat the same steps after your April JEE Main results to refine your admission possibilities.
You can also follow a similar process for JEE Advanced cutoffs when applying for IITs.

Want to Learn More About JoSAA Counseling?
If you want detailed insights on JoSAA counseling, engineering entrance exams, preparation strategies, and engineering career options, check out EduJob360’s 180+ YouTube videos on this topic!

Hope this guide helps! All the best for your admissions!

Follow RediffGURUS to Know more on 'Careers | Health | Money | Relationships'.

...Read more

Radheshyam

Radheshyam Zanwar  |1603 Answers  |Ask -

MHT-CET, IIT-JEE, NEET-UG Expert - Answered on May 06, 2025

Career
Dear Sir, as my son Inter bord got 91% but in Jee mains 1st attempt got 50% and 2nd attempt got 70%, but he was not eligible for Advance, and he was wrote other college exams as (IIIT Hyd + VIT+TSEAPCET) in that VIT got results as 1.20 Lakh rank and he was eligible for Round of Category of 5th for VIT-AP & VIT-Bhopal, and expecting results for IIIT Hyd and also waiting for other Exams as (COMEDK + MIT + BITS), he was sincerely trying the efforts private college entrance exams, but the results which is not satisfy for him, and getting disappoint, but I was giving the motivation for other exams and do the hard work and focus on, BITS & IIT-Hyd also very tuff and more competitive, as i need to think for the negative side, if he could not get any cut of marks, what is the next option....? I request you pls give any other alternate suggestions for which is alternate engineering university for the course of (CSE AI & ML), my son interested in CSE course only
Ans: Hello Rakesh
First and foremost, I would like to commend your son for his earnest efforts in preparing for a range of engineering entrance examinations. His dedication is commendable, even if the outcomes so far haven't aligned with expectations. As you’ve mentioned, he has not yet been able to meet the required cutoff, which understandably may lead to feelings of disappointment or frustration.
However, the journey isn't over. Significant opportunities still lie ahead with BITSAT and IIIT-Hyderabad, both of which are known to be less about difficulty and more about testing strategic thinking and conceptual clarity. It appears that your son may be facing challenges in effectively managing the vast syllabus or might not yet have identified the right approach to tackle these competitive exams. Understanding how to study smartly for such tests often makes all the difference.
It’s important to maintain a positive outlook and avoid negative assumptions at this stage. You haven’t mentioned your financial circumstances, but if your son is determined to pursue fields like Computer Science, Artificial Intelligence, or Machine Learning, and if merit-based options don’t materialize, admission through the management quota could be a viable alternative. This route is typically available in reputed private engineering colleges, though it comes with a higher financial commitment.
Before considering this option seriously, I would recommend waiting for the results of all the remaining entrance exams. At the same time, it would be wise to proactively visit a few reputed institutions to inquire about the availability of management quota seats, associated costs, and relevant terms and conditions. Many parents secure such seats early on, anticipating the challenges their child might face in clearing competitive cutoffs.
Stay optimistic, there are still several promising pathways ahead.
Follow me if you like the reply. Thanks
Radheshyam

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