CCoPE
Date: 2006-12-13

Question:
I have been in remission from non-hodgkins lymphoma for almost 4 years now. I have received R-CHOP and the last Ritoxin treatment was over a year ago. I have regular periods now and have taken an ovulation test which shows that I am ovulating. Is it o.k. to start trying for a baby? Will I have a higher risk of recurrence with pregnancy. I was 21 years old at diagnosis and I am now 25. Thanks, Joanne

Answer:

The following information should not replace the assessment and advice you have been receiving from your physician (cancer specialist, obstetrician, or any other healthcare provider). It is offered for your information only. Consult your physician.

In general, obstetricians and oncologists suggest at least a year waiting period from completion of treatment prior to attempting pregnancy. If the appropriate follow up tests have been reassuring, and a remission has been achieved, then pregnancy is less likely to have complications. The literature suggests that pregnancy is unlikely to cause recurrence of disease. Given the rarity of pregnant women who have or who have had blood cancers such as non-Hodgkins lymphoma (NHL), it is very important that you seek counseling from your oncologist and a maternal fetal medicine specialist (high-risk obstetrician) to examine the issues specific to your health history.