Fertility preservation: a ray of hope even amidst cancer

By Dr. Maria Angelica Triana

Fertility Specialist | She experienced an oncological process for breast cancer

Talk about fertility preservation It’s never just talking about eggs, embryos or medical treatments. For me, it is talking about hope, the future and the possibility of continuing to dream even when life confronts us with one of its most difficult diagnoses.

As a fertility specialist, and also as a woman who has experienced breast cancer, I have accompanied many patients who, in the midst of cancer treatment, wonder what will happen to their fertility and their desire to be mothers or fathers in the future. From that place —professional and deeply human— I want to share why this issue is so important, especially in February, the global fight against cancer.

When cancer comes to life

Receiving a cancer diagnosis changes life in seconds. Suddenly, everything is focused on surviving. The body, plans and dreams seem to be on pause. Many patients tell me in consultation: “Doctor, now I can’t think of being a mother”. And it is completely valid.

But I also know that, even in the midst of fear and uncertainty, silent questions arise: What will happen to my fertility? Will I be able to be a mom when this is all over?

The preservation of fertility is not an imposition or a mandatory decision. It is an option. A door that can remain open for the future.

My story: practice medicine in the midst of treatment

During my cancer treatment there were days of chemotherapy, days of deep fatigue and days without hair. Still, I kept accompanying my patients. Many times I did it from my cell phone, while receiving my own treatments.

It was not easy. But listening to other women, solving their doubts and accompanying them in their processes reminded me every day why I had chosen this profession. I too was living fear, vulnerability and uncertainty. And I understood that true empathy is not learned in books: it is built from experience.

Today I speak of fertility not only from scientific knowledge, but also from a personal experience that allows me to give an accompaniment also from my own experience. 

Preserving fertility: taking care of life projects

Many cancer treatments can affect ovarian function and decrease the chances of a pregnancy in the future. Therefore, when the medical condition and time allow it, the preservation of fertility can be a fundamental tool.

Freezing eggs or embryos before initiating cancer treatment does not mean downplaying the fight against cancer. It means recognizing that, in addition to healing, many people want to keep the possibility of starting a family later.

Every story is different. Each body responds differently. Therefore, these decisions must be made with clear information, adequate medical accompaniment and, above all, a lot of respect for the moment in which each patient lives.

Accompany from empathy

In consultation, many patients do not seek only medical answers. They seek understanding. Someone who listens to them without judgment. Someone who understands that thinking about the future does not make them less strong or less committed to their current treatment.

I was there. I know what it’s like to sit in a chemotherapy room and still imagine tomorrow. That is why I deeply believe in a human reproductive medicine, empathetic and close, that accompanies each patient according to their times and emotions.

A message for those who are living it

The Preservation of fertility in cancer patients It does not eliminate fear, but it can sow hope. It is a way of taking care of not only the body, but also the life projects that many people want to resume once the treatment ends.

This is a message for those who are focused on healing today, but also for those who, in silence, continue to dream of the future. Thinking about what is to come is also a way of resisting, trusting and moving forward.

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