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Is fertility preservation possible for teen girls with TNBC?

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Patient's Query

Hello doctor,

My daughter just got diagnosed with triple-negative breast cancer. She just hit puberty very late. She has always been a late bloomer, physically and mentally, and now this. Her breasts are small, and we almost missed the lump. She also has ADHD, which makes everything more complicated.

  1. Why did this happen to someone so young?
  2. Is it related to her late development?
  3. We are terrified about treatment options for someone her age. Will this affect her future fertility?
  4. How do we explain this to her when she already struggles with focus?
  5. Are there any clinical trials for young patients?
  6. We are feeling lost and scared. How do we help her cope with cancer and ADHD?

Kindly help.

Thank you.
Answered by Dr. Sugandh Garg

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Triple-negative breast cancer (TNBC) is more aggressive compared to other types of breast cancer because it lacks the three most common receptors that other breast cancers have (estrogen, progesterone, and HER2). This means that hormonal therapies usually used in other breast cancers are not effective for TNBC.

However, chemotherapy (the use of medicines to treat cancer) is the treatment for TNBC.

  1. It is important to explain things to her in simple, clear terms, focusing on one thing at a time, and offering reassurance.

  2. Keep her involved in decisions about her care.

  3. Consult a child psychologist or a counselor, as they can help you.

Chemotherapy can have side effects, including fertility issues. Fertility preservation options, like freezing eggs or ovarian tissue, should be discussed with her oncologist (cancer specialist).

Your daughter’s oncologist should be able to guide you toward any appropriate clinical trials.

  1. Structure and routine can help children with ADHD stay grounded.

  2. Try to maintain a predictable schedule where possible.

  3. A physical examination by a doctor in a hospital is a must.

I hope this information will help you.

Kindly revert in case of further queries.

Thank you.

Answered byDr. Sugandh Garg

Medically reviewed byiCliniq medical review team

Published At October 12, 2024
Reviewed AtMay 29, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sugandh Garg
Dr. Sugandh Garg

Internal Medicine

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