BMJ  2007;334 (27 January), doi:10.1136/bmj.39106.368553.1F

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Menstrual function and dysfunction

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The standard recommendation for women wanting to become pregnant after breast cancer treatment is to wait two years. Angela Ives and colleagues studied (doi: 10.1136/bmj.39035.667176.55) 62 Australian women with breast cancer who subsequently conceived. They found that, for women with localized disease, conception as early as six months after completing treatment was unlikely to reduce survival. The two year recommendation may be valid for women with systemic disease or who are still receiving treatment. In an accompanying editorial (doi: 10.1136/bmj.39098.376181.BE), Emily Banks and Gillian Reeves state that actually very few women become pregnant after breast cancer treatment. They are clearly a special group and probably have better prognostic factors than women who don't get pregnant, regardless of when they conceive. Because randomized trials that would test conception timing are, of course, not possible, we will never know for certain the best time to become pregnant after breast cancer. . . . [Full text of this article]

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