A uterine cancer diagnosis does not automatically mean the end of your fertility. For selected young women from Bulandshahr with early-stage, low-grade uterine cancer, fertility-preserving treatment is a recognised and safe option — provided it is managed by a specialist like Dr. Monisha Gupta who is experienced in this carefully monitored approach.
When Can Fertility Be Preserved?
Fertility preservation is considered only when all of the following criteria are met:
- Stage IA disease (cancer confined to the inner lining of the uterus, no muscular invasion)
- Grade 1 (low-grade, well-differentiated) tumour on pathology
- No evidence of ovarian or distant spread on MRI
- Strong desire to have children, with the understanding that hysterectomy remains the definitive cure
Progestin (Hormonal) Therapy
Women who meet these criteria are treated with high-dose oral or intra-uterine progestin (a form of progesterone). The uterine lining is monitored every 3 months with repeat endometrial sampling. Response rates are approximately 70–80%. After completing their family, a hysterectomy is strongly recommended.
Monitoring and Safety
This approach requires strict follow-up — non-compliance significantly increases the risk of the cancer progressing. Women from Bulandshahr — from areas including Civil Lines, Khurja Road, Delhi Road — can do their 3-monthly biopsy locally and share the results with Dr. Monisha via teleconsultation, minimising the number of trips to Delhi.
Talking to Dr. Monisha About Your Options
If you are a young woman from Bulandshahr diagnosed with uterine cancer and wish to preserve your fertility, Dr. Monisha Gupta at Fortis Hospital, Shalimar Bagh, New Delhi will assess your eligibility and discuss the risks and benefits honestly. Book a consultation here.
