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► CHAPTERS 🤓
00:05 Ovarian Insufficiency After Breast Cancer Treatment
00:34 Bone Health & DEXA Screening
01:06 Fertility After Chemotherapy
01:31 Contraception for Breast Cancer Survivors
01:59 Sexual Health & Menopausal Symptoms
03:03 Clinical Case: Counseling a Breast Cancer Survivor
03:28 Body Image & Treatment-Related Menopause
04:07 Bone Health & Fertility Counseling
04:50 Sexual Health & Dyspareunia
05:17 Ongoing Preventive Screening
► How can breast cancer treatment affect ovarian function, fertility, bone health, menopausal symptoms, contraception, and sexual health?
The lesson explains how chemotherapeutic agents such as cyclophosphamide can cause ovarian toxicity and lead to ovarian insufficiency or ovarian failure. It then connects these effects with the clinical considerations healthcare professionals need to address during survivorship care.
🦴 Review bone health after breast cancer treatment, including the role of DEXA scanning in patients at increased risk of bone loss.
🧬 Understand chemotherapy-related ovarian toxicity and how agents such as cyclophosphamide can affect ovarian function.
🤰 Explore fertility considerations and why reproductive endocrinology and infertility counseling should ideally occur before cancer treatment begins.
💊 Review tamoxifen and conception considerations, including counseling for patients who want to become pregnant after treatment.
🛡️ Discuss contraception after breast cancer, including nonhormonal contraceptive options addressed in the lecture.
🌡️ Recognize menopausal and vasomotor symptoms that may occur following treatment and review the nonhormonal approaches discussed for managing hot flashes.
❤️ Address sexual health and intimacy, including vaginal dryness, dyspareunia, counseling, and supportive interventions.
🧠 Consider psychological and body-image concerns following procedures such as bilateral mastectomy and the importance of appropriate psychosocial support.
🩺 Apply these concepts to a clinical case involving a 37-year-old breast cancer survivor treated with bilateral mastectomy, cyclophosphamide, and tamoxifen.
📋 Review ongoing preventive care, including the additional routine screening considerations discussed for breast cancer survivors.
The clinical case brings these concepts together by asking how a healthcare professional should counsel a young breast cancer survivor about bone health, fertility preservation, menopausal symptoms, sexual health, psychological wellbeing, and ongoing preventive care.
► THE PROF 📚🏫
Dr. Lynae Brayboy is an Assistant Professor of Molecular Biology, Cell Biology and Biochemistry at Brown University, in Rhode Island, USA.
She obtained her MD from Temple University School of Medicine in Pennsylvania. Currently, she is double-board certified in OB/GYN, as well as Reproductive Endocrinology and Infertility, and is also Visiting (Reproductive) Scientist at the Charité Berlin.
Due to her achievements, she has earned multiple teaching awards.
Within Lecturio, Dr. Brayboy teaches courses on Gynecology.
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