Breast Cancer and Birth Control
Was anyone taking birth control pill when dx? Were you told to stop if your cancer was hormone dependent? I was dx with invsive tubular carcinoma which I am told is often hormone dependent. I am also taking birth contol pills which the doctors know about. If you were recommended to use another form of birth control what kind did you go with? I started taking birth control pills to mainly help with my period because it was quite debilitating. I am hoping to not have to go with something that won't help my periods anymore. Thanks for your help.
Comments
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I was taking birth control for 9 years prior to my dx. I started taking it in high school to help with terrible periods, and acne.
The day I was diagnosed I was told to IMMEDIATELY stop taking it.
My only choice now is condoms (I know, it sucks)
You can use a sponge or a diaphragm, but I can't imagine using either of those.
My ONC and GYN don't recommend IUD's either. Mnay of them have hormones in them, and they can all promote uterine bleeding. Plus, my mom got pregnant with my sister with an IUD, so I feel like condoms are all thats left.
I can't imagine ANY doctor allowing you to continue birth control with breast cancer.
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I was on the pill up until the day I was diagnosed with a hormone positive tumor, and my onc was adament about discontinuing the pill immediately. Any added hormones will fuel the cancer.
Like Beth said, barrier methods are the only option.
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Thanks for your comments. I had to fill out several surveys before certain tests and visits, one was before my breast MRI and one was before meeting with the surgeon. On both tests I indicated that I am taking birth control pills and even told the nurse this before meeting with the surgeon. No one has told me to stop taking them. I have not been told either way though that my cancer is hormone dependent. I can't use condoms as I have reactions to them even the ones that are non latex or labeled as sensitive, so that option is out. I have heard that some IUD's don't contain hormones. Since stopping the pill how has your periods been?
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Can you get a second opinion from another doctor about the pill? I beleive the hormones could be dangerous. I've been using condoms since the diagnosis. The good news is though, that I hear tubular cancers have a good prognosis. Good luck with everything.
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shelter I have allergies to some latex. I went rummaging through his drawer and I can't find the ones I like- I'll PM you with the brand when he gets home.
Pills are out-- the hormones will jump start cancer cells.
The IUD- there are some without hormones. HOWEVER, if you have to take Tamoxifen, there is a small issue with IUD's. Tamoxifen, in a VERY small percent of patients can cause uterine issues, and b/c an IUD is a foreign object, it can cause bleeding (spotting, or heavier periods) and then onc/gyn won't know if its from the Tmox or from the IUD. Plus, YOU CANNOT/should not get preggers while on Tamoxifen.
You may want to go with a sponge or a diaphragm. It takes away some of the spontinaity, but its better then the alternative.
I stopped the pill when I was dx, but my periods didn't really change at that point. I went through chemopause from the chemo, and when I was finished, my periods came back in like 6 weeks.
They are totally normal, as far as every 28 days, but in many ways I feel like it's high school all over again-- not so much with heavy bleeding that lasts for a week, but the debilitating cramps, and a few zits have come back... (I know, cause I need this in my life?!)
I have become new friends with Midol. I can't believe I just found this pill now! It works great.
You definitely need clarification about your hormone status
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Thanks for all the info. Did you find out your hormone status prior to surgery? I have not had surgery yet, but am scheduled for next Thursday for lumpectomy. I was told I am going to do rads and possibly hormone therapy, but have not been told that for sure. I am wondering if they don't know my hormone status yet and that is why it has not been discussed. My tumor is almost gone after biopsy and didn't even show on the breast MRI. I can barely even feel it anymore. I don't meet with the rad and med onc until October 8th. My first post op appointment is not scheduled until October 1st. and that is with the surgeon.
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Some people will get their hormone stats from the biopsy, and some will have to wait for the path from surgery. Who spoke to you about hormone therapy? Do you have a copy of the path from your biopsy? You can call and request one.
It sounds like they caught it early, however, birth control still poses a risk.
You will know everything after your lumpectomy. And I can tell you, its scarier going in then coming out-- you'll wake up and be like- oh, that was it... the pain is totally manageable...you'll feel bruised and sore, but it won't be too long before you feel 100%
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I was on the pill for years and stopped as soon as I got my diagnosis in December, since my cancer was hormone-sensitive. I stopped getting my period during chemo in April and it hasn't started back yet, which could be chemopause or could be my own very irregular cycle (which was one of the reasons I was taking the pill to begin with). I will be starting Tamoxifen soon and I'm almost 42, so I'm expecting an early menopause anyway.
My oncologist and my gyn both told me that the non-hormonal IUD would be fine. I hate condoms so I'm considering it, although right now my relationship with dbf is kind of iffy, so I'm not rushing into anything.
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BethNY- The surgeon is the one who mentioned the possibility of hormone therapy to me when I met with him to discuss surgery. He did not say it was a definate. The only things that are decided right now are the lumpectomy and rads. I did not receive a copy of my path report, but I think I will request one. My bc was found after seeking a second opinion. My primary doc examined the lump three times between May and June and came to the conclusion that I should just ignore it. I'm so glad I sought the second opinion as I am only 32 with a 4 year old son at home. I was really scared about the surgery and told my medical social worker about all my fears. She went right down and spoke with the pre-op people for me. I requested to have lidocaine and numbing cream prior to all procedures involving needles including the IV and they said no problem. They are also looking into sedation for me and a Reiki session on the day of surgery. That made me feel soooo much better. I'm sure I will still be nervous that day, but relieved some of my fears are put to rest. Thanks again for all of your help!
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I'm only 32 and want to have more children. That is why I don't want my husband to have a vasectomy. My son is 4 years old.
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I was taking bc pills for many years prior to my dx. My surgeon asked me to stop the bc about a week before my MRI -- not *immediately* upon dx, but certainly soon after. I never went back to them. I also had difficult periods, but that's because I had a huge endometrioma on my right ovary. After finishing chemo and radiation, I had an ooph. So, no more bc for me.
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mamhop same reason here- getting married in 7 months, and I want to have kids-- so vasectomy not an option.
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i started taking the pill about a year a go. three week ago i was diagnosed with breast cancer! there might be a connection. drop the pill its not worth it.
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I was on the pill and stopped as soon I got DX in december 2008.
I using a diaphragm since january 2009.
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I was told to stop the pill as well, as my tumor was hormone receptive
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Is there anyone out there who has tried the non-hormonal IUD? My oncologist and gyn both think it is a fine option but I'm wondering if anyone has heard about risks... I am 42 and taking tamoxifen, and not quite in menopause yet.
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Hi Lorena B,
I thought about getting a non-hormonal IUD last week but I chickened out when I read the consent forms. The risks seem to outweigh the benefits and since I haven't had kids yet, I don't want it to affect my fertility. There is also a possibily that the copper in the non-hormonal IUD can cause you to become anemic. I asked my gyno about this and she said for me to talk to my oncologist first before I make a decision. It's bad enough that chemo makes you feel like crap, so why bother being anemic and feeling worse? It is too much of a risk and it is not really worth getting, unless you've had children or are done having them.
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The risks of an IUD while on Tamoxifen, have to do with uterine bleeding. Basically, b/c the device is a foreign object it can cause bleeding and some pain (rare side effect) BUT,... it's hard for the GYN or ONC to tell if its from the IUD, or if it's the rare 2% of Tamoxifen patients that have uterine issues from the drug.
So that's what you have to weigh out. Honestly, if you really dont want to use condoms, and are having no issues on Tamoxifen, I'd go for it.
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I was on the pill since I was 16 and was 43 at my dx. I was told to IMMEDIATELY stop those pills as I was ER/PR 100%. I know there is no scientific consensus that the Pill causes BC but having been dx'd with such highly hormone +++ BC I am suspicious. Also, my mom was on the pill for quite a few years, and on hormone replacement therapy post-menopause, and she too is a survivor of ER/PR 100% BC. I think with at least some of us there is a susceptibility to artificial hormones which make cancer cells grow wild.
I went into chemo-induced menopause so I don't need birth control, but still use barrier methods (condoms) because I still need to practice safe sex (and so do all of you!). I don't use spermicide - it irritates my girl parts. Condoms and Astroglide are the way to go.
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I was on the Pill before 1st.DX ( 2000), and used a copper IUD
between 2000 and 2008. July 2008 hysterectomy with both ovaries.
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I was on the pill for years b4 dx. I wasn't told immediately to stop taking them, but I was given dx by my primary care. I happened to stop taking them bc my insurance had switched and I didn't have an Rx card for the new one yet. I mentioned that in my inital appt with surgeon and he told me to stop taking them.
Since then we're using condoms. DH is getting a vasectomy this friday. I'm thankful he is one of those guys who realizes it is SO much easier for him to take care of it than me. We were planning on getting that done anyway, but the bc helped it along a little. no kids, don't want any.
My SIL got her tubes tied last week and I couldn't help but wonder why her dh didn't get fixed instead.
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I just caught glimpse of all the new responses to this thread since my first post. I decided to go with the non-hormonal IUD which I had placed last November. I had heavier periods for the first two months and had a pinching in my side while my body got used to the device. Since then I have no more pinching and my periods have eased up a bit. I am very happy with my decision.
Christina
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Thanks for the feedback everyone! I am going to get the IUD inserted on Friday. I spoke to my oncologist (actually, it was the PA who called me back) and she does not anticipate any problems. I am done having kids (biologically anyway) -- I have one almost-8-year-old son and will be 47 when I finish my 5 years on tamoxifen, so that is one door that I have had to close. (I still may adopt someday.)
I was also on the pill for many years -- while it is highly unlikely that it was a factor in getting bc, I suppose it could have contributed to faster growth of the tumor up until my diagnosis (when I stopped taking it). Hmm, never thought about this before....
Lauren
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I was also on the pill when diagnosed, but I also have another factor into play--the fact that I've never had children. Doctors told me to stop pill immediately, but they also couldn't pinpoint cancer to the pill specifically. Interesting........
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I just posted this on the Mirena thread but I see it's relevant here too. I have had a copper Paraguard (no hormone) IUD for 3 years. Personally, I dislike it because it causes lots of spotting. My recently diagnosed cancer is ER+. I wonder if I wlll be asked to have the IUD removed since, as a prior poster mentioned, the spotting from the IUD could interefere with the diagnosis of uterine cancer. Has anyone been in this position?
I got the IUD because I really didn't want to ask my husband to get the big V since he didn't want to. Now that I've been through all this, though, it doesn't seem like so much to ask.
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Anyone who is dx with hormone receptor positive bc that is on the pill, *ask* your doctor if you should stop, even if they don't bring it up. I had listed birth control every time someone asked what drugs I'm on (pre-mammo, pre-biopsy, pre-surgery, etc.) and we knew the cancer was er/pr+ after the biopsy, but nobody said anything to me about stopping birth control. I was on the pill for years when I was younger, stopped for about a decade, and started again a few years ago because of heavy periods and anemia (which the pill resolved). When I asked my surgeon following surgery, she said yes, emphatically, stop taking it immediately. I think if I hadn't asked, it might have been overlooked indefinitely. As for the pill causing the cancer, her opinion was that there is no evidence to support cause, but that it can feed the cancer and cause it to grow more quickly and/or be more aggressive. Hmmm. The point is - don't wait to be told. Ask.
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I was on the pill before first DX. I used Condoms, a shortly time and diaphragm between 2000 and
may 2006. A copper IUD may 2006 - july 2008 and Abstinence now
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Wow, Janet, I can't believe that no one brought that up with you! I was told right at my diagnosis to stop taking the bcp -- and she wasn't even a cancer specialist, just a regular surgeon. I've been off the pill for over a year now.
I just got the non-hormonal IUD (paraguard) a couple of weeks ago and so far so good. I don't even know it's there.
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I can't believe none of your docs told you to stop taking the pill, and it was right their in your history. I was told the day of my diagnosis to stop taking it by my breast surgeon.
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I was on the Pill before first DX and used the nfp between first and second DX.
Currently a Diaphragm.
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