OncoCare in the News
Did you know that one in three gynaecological cancers diagnosed in Singapore affects women under 50? DR LIM SHEOW LEI, Senior Medical Oncologist at OncoCare Cancer Centre, discusses the likes of cervical cancer and ovarian cancer in young women – and how they can protect themselves.
They are cancers of the female reproductive organs. Common types of gynaecological cancer include uterine (endometrial) cancer, ovarian cancer and cervical cancer.
Today, gynaecological cancers like ovarian cancer are more common in young women, due to better detection, changing lifestyle factors (such as rising obesity rates) and inherited genetic risks. Beyond the typical challenges faced by cancer patients such as treatment side effects, fear of recurrence, career and financial disruptions and lack of peer support, gynaecological cancers come with a few unique challenges:
Treatments for gynaecological cancer like surgery (removal of uterus and ovaries), radiotherapy, chemotherapy and hormonal therapies can lead to infertility. This is particularly relevant in Singapore, where many women delay childbirth. Fertility preservation options (like egg or embryo freezing) are available, but they’re time-sensitive and need to be undertaken before treatment. Early discussions with your doctor are crucial – though they can add urgency to an already overwhelming situation.
Cancer treatments may induce early menopause. Unlike natural menopause, treatment-induced menopausal symptoms, such as hot flushes, vaginal dryness, fatigue and mood swings, can be sudden and intense. These can affect self-esteem, relationships and quality of life.
Hormone replacement therapy (HRT), an effective treatment for menopausal symptoms, may not be safe for women with certain hormone-sensitive uterine or ovarian cancers. Furthermore, menopausal symptoms can mimic signs of cancer recurrence, adding emotional stress and anxiety.