HomeAnswersGeneral Medicinetriple-negative breast cancer

Being 35, how can I manage my triple-negative breast cancer?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 35-year-old female and was just diagnosed with triple-negative breast cancer. I tested positive for BRCA1 (breast cancer gene 1). I am overwhelmed and scared. Chemotherapy is starting soon, and I am being told to think about fertility preservation. Can you suggest to me?

  • How do women my age manage treatment and future planning?

  • Are there new options for BRCA (breast cancer gene)-positive cases like me?

Kindly help.

Answered by Dr. Ashraf Ghani

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Triple negative breast cancer (TNBC) with a BRCA1 (breast cancer gene 1) mutation can feel sad, but it also means your care team has to customize treatment according to your situation.

Women at your age often face a twofold challenge, like aggressive treatment and future fertility planning for breast cancer treatment. Chemotherapy is typically started quickly for TNBC, but there is usually a short window to pursue fertility preservation, like egg or embryo freezing, before treatment begins.

On the positive side, being BRCA1-positive makes you more responsive to certain therapies.

In addition to standard chemotherapy, PARP (poly [ADP-ribose] polymerase) inhibitors (like Olaparib) have shown promising results in BRCA-mutated breast cancers and will be used after chemotherapy to help reduce recurrence risk. You will also have the option to discuss preventive surgery (such as bilateral mastectomy or oophorectomy), depending on your long-term plans and risk profile.

Many women in your position go on to build families later through assisted reproduction or other paths, so even though the road ahead is intense, future planning is still very much possible.

I hope this information helps you.

Feel free to ask further queries.

Thank you.

Medically reviewed by iCliniq medical review team
Published At September 30, 2025
Reviewed At October 6, 2025

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

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

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.