How to support someone with TNBC?

Question

Hello doctor,

My 28-year-old cousin found out she has triple-negative breast cancer last month. She is really scared because her doctor said it is aggressive and does not respond to the usual hormone treatments. They started chemotherapy, but now her periods have stopped all of a sudden. Does this mean she cannot have children in the future? She is asking me to look into anything about freezing eggs, but is it already too late for that? Also, she is refusing to talk to a counselor or support group, even though she is clearly struggling emotionally. What should we do to help her mentally while also pushing forward with her treatments? We do not want her to feel abandoned, but we are clueless ourselves.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

I am so sorry to hear about your cousin's diagnosis. Triple-negative breast cancer (TNBC) can be aggressive, and the emotional impact can be overwhelming. I will provide you with some guidance on fertility preservation, emotional support, and treatment.

Fertility preservation:

Egg freezing (oocyte cryopreservation): Although it is ideal to freeze eggs before starting chemotherapy, it is not impossible to do so after chemotherapy has begun. However, the sooner it is done, the better.
Consult a fertility specialist: Arrange a consultation with a fertility specialist to discuss the feasibility of egg freezing and the potential risks and benefits.
Other options: If egg freezing is not possible, other options like embryo freezing (if she has a partner) or ovarian tissue freezing may be considered.

Emotional support;

Encourage professional counseling: While your cousin may resist, it is essential to emphasize the benefits of professional counseling. A therapist can help her cope with the emotional impact of her diagnosis and treatment.
Support groups: Suggest online support groups or forums specifically for young women with triple-negative breast cancer. Sharing experiences with others who understand can be incredibly helpful.
Family and friend support: Be present, listen actively, and offer practical help (e.g., cooking, running errands). Avoid being judgmental or dismissive of her feelings.
Mental health resources: Provide resources like the National Breast Cancer Foundation's online support groups.

Remember, every individual's experience with cancer is unique. Be patient, understanding, and supportive, and encourage your cousin to seek professional help when needed.

Please let us know if you have any further queries. We would be happy to answer.

Thank you.