NCCN Guidelines for Patients® | Chronic Lymphocytic Leukemia

22 NCCN Guidelines for Patients ® : Chronic Lymphocytic Leukemia, 2018 2 Treatment planning Heart tests | Fertility and pregnancy Heart tests Some cancer treatments can damage your heart. Thus, your doctor may test how well your heart works to plan treatment. If it isn’t working well, you may receive other treatment. An echocardiogram is an imaging test of your heart. It uses sound waves (ultrasound) to make pictures. During this test, you will be lying down. Small patches will be placed on your chest to track your heartbeat. Next, a probe with gel on its tip will be slid across part of your bare chest. A picture of your beating heart will be seen at once on a screen. The pictures will be recorded for future viewing. A MUGA ( mu lti- g ated a cquisition) scan measures how well your heart is pumping blood. For this test, patches will be placed on your chest to track your heartbeat. Also, a radiotracer will be injected into your vein. Pictures of your heart will be taken with a special camera that can detect the radiation released by the tracer. Fertility and pregnancy Some cancer treatments can limit your ability to have a baby. If you want the choice of having babies after treatment or are unsure, tell your doctors. It may also help to talk with a fertility specialist before you begin cancer treatment. A fertility specialist is an expert in helping people have babies. The fertility specialist can discuss with you how to have a baby after treatment. Some methods of fertility preservation are discussed next. If you are a woman of childbearing age, important information on pregnancy is also addressed. Sperm banking Men who want to father children after cancer treatment can use sperm banking. Sperm banking stores semen for later use. This is done by freezing semen with sperm in liquid nitrogen. Talk to your treatment team about the costs of and how well sperm banking works. Egg freezing and more Like sperm banking, a woman’s eggs can be removed, frozen, and stored for later use. Your frozen eggs can be fertilized with sperm beforehand. Also, a part of your ovary that contains eggs can be frozen and stored. Pregnancy test Some cancer treatments can harm an unborn baby. Get a pregnancy test before treatment if you may be pregnant now. Your treatment options will depend on the results. During treatment, take steps to avoid getting pregnant. Your doctors can tell you which birth control methods are best to use while on treatment. Helpful tips: ü Keep a list of contact information of all of your health care providers. ü Ask a caregiver to help you plan your appointments. ü Use a calendar or day planner to keep track of your appointments.

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