{"id":4782,"date":"2016-05-11T00:00:00","date_gmt":"2016-05-11T06:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2016\/05\/11\/patient-gives-up-ovaries-after-genetic-testing-shows-cancer-risk\/"},"modified":"2021-08-03T09:36:06","modified_gmt":"2021-08-03T15:36:06","slug":"patient-gives-up-ovaries-after-genetic-testing-shows-cancer-risk","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/patient-gives-up-ovaries-after-genetic-testing-shows-cancer-risk\/","title":{"rendered":"Patient gives up ovaries after genetic testing shows cancer risk"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><p>Martha Albrecht knew cancer ran in her family. Her mom survived breast cancer in the 1970s, as did Albrecht when she was in her 30s. Albrecht\u2019s sister, Linda, died of breast cancer in 2003.<\/p>\n<p>In May 2015 Albrecht, 53, received confirmation that she carries the mutated gene <em>BRCA1<\/em>, one of many genes that are linked to breast cancer in women and men. This gene abnormality also increases the risk of ovarian cancer \u2014 a disease that is often fatal because by the time symptoms appear, it is too late to treat.<\/p>\n<p>\u201cI was always told I was at high risk for ovarian cancer and should do genetic testing,\u201d Albrecht said.<\/p>\n<p>But she hesitated because she had read that concrete proof of the gene could affect the ability of her children to get health insurance, and she did not want that to hinder them.<\/p>\n<p>But then came health care reform, and Albrecht finally felt comfortable enough to oblige her older daughter\u2019s request to have the genetic testing done.<\/p>\n<h3><strong>The results of genetic testing<\/strong><\/h3>\n<p>The testing showed that her 25-year-old daughter, LeeAnn, does not carry the gene, but her 22-year-old daughter, Alissa, does. Her son, Alex, 28, has not been tested.<\/p>\n<p>Knowing she had the <em>BRCA1<\/em> gene gave Albrecht the opportunity to essentially knock ovarian cancer out of the picture. According to the <a href=\"https:\/\/www.acog.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">American College of Obstetrics<\/a>, those with the <em>BRCA1<\/em> or <em>BRCA2<\/em> gene reduce their chances of getting ovarian cancer by 80 to 90 percent by having their ovaries removed. And, if they do it before menopause, they reduce their risk of getting breast cancer by 50 to 60 percent.<\/p>\n<p>Still, Albrecht was hesitant to step into the ring. Doing so would mean yet another surgery, and she had already had two partial mastectomies and breast reconstruction. She didn\u2019t want the disruption to her life.<\/p>\n<p>\u201cI felt shamed by my previous doctors that I didn\u2019t want to do it,\u201d she said. \u201cThey would say, \u2018Don\u2019t you know this will kill you?\u2019 I never felt like I was heard.\u201d<\/p>\n<div class=\"su-callout-box col-xs-12 col-sm-6 right\" style=\"background-color:#dce4e7; color:#2e3b44;\"><strong>Hereditary Risk Checklist<\/strong><\/p>\n<p>If one or more of the following situations applies to you or your immediate family, you may want to make an appointment with the Hereditary Cancer Clinic in your area:<\/p>\n<ul>\n<li>Many relatives in your family have had cancer.<\/li>\n<li>Two or more of your relatives have had the same type of cancer.<\/li>\n<li>You and a relative have had the same type of cancer.<\/li>\n<li>You and\/or a relative were\/was diagnosed with cancer before age 50.<\/li>\n<li>You or a relative have\/has had more than one type of cancer.<\/li>\n<li>You or a relative have\/has had a rare cancer (such as breast cancer in a male).<\/li>\n<\/ul>\n<p><strong>Schedule genetic counseling at a Hereditary Cancer Clinic near you:<\/strong><br \/>\nFort Collins: <a href=\"tel:970.493.6337\">970.493.6337<\/a><br \/>\nGreeley:\u00a0 <a href=\"tel:970.347.5780\">970.347.5780<\/a><br \/>\nLoveland:\u00a0 <a href=\"tel:970.237.7700\">970.237.7700<\/a><br \/>\nAurora:\u00a0 <a href=\"tel:720.848.5944\">720.848.5944<\/a><br \/>\nColorado Springs:\u00a0 <a href=\"tel:719.365.6845\">719.365.6845<\/a><\/p>\n<\/div>\n<h3><strong>Having the conversation<\/strong><\/h3>\n<p>She finally decided to follow one doctor\u2019s advice and \u201cjust have a conversation\u201d with <a href=\"https:\/\/www.uchealth.org\/provider\/natalie-rochester-md-obstetrics-and-gynecology\/\">Dr. Natalie Rochester<\/a>, who practices at UCHealth Women&#8217;s Care Clinic in Loveland and Greeley.<\/p>\n<p>Rochester, who has removed the ovaries and fallopian tubes of 12 women at risk for ovarian cancer in the past year \u2014 a procedure known as prophylactic oophorectomy \u2014 said she could tell Albrecht was very anxious about having surgery, so she counseled her about positive outcomes as well as the risks of the procedure and why it was recommended. Rochester spent time with Albrecht to discuss her concerns and fears.<\/p>\n<p>Together, they talked about Albrecht\u2019s \u201cplan B,\u201d which would require fanatical attention to her health. \u201cI told her, \u2018You\u2019re going to get tired of seeing me,\u2019\u201d Rochester said. \u201cShe needed something concrete so she had a choice either way.\u201d<\/p>\n<p>It took Albrecht a few months to mull over her options, and she initially planned to stick with plan B, Rochester said. But Albrecht eventually scheduled the surgery for November 2015.<\/p>\n<p>\u201cMaybe it was her bedside manner,\u201d Albrecht said of Rochester. \u201cShe was so relatable and so genuine; I immediately felt at ease. She acknowledged my fears. \u2026 She put the whole decision on me.\u201d<\/p>\n<h3><strong>What happens next?<\/strong><\/h3>\n<p>Albrecht was an excellent candidate for single-port laparoscopy, a procedure that involves removing the ovaries and fallopian tubes through an incision in the belly button. Because of scar tissue from previous surgeries, Albrecht required a second incision, but it didn\u2019t hinder her recovery, Rochester said.<\/p>\n<p>In fact, Albrecht describes the surgery as \u201ca piece of cake.\u201d She said she was itching to return to the gym and her bike within a week, though Rochester counseled her to wait another week to ensure she was healed.<\/p>\n<p>The mental recovery was quick as well, Albrecht said.<\/p>\n<p>\u201cI never realized [ovarian cancer] was that much of a fear for me, but obviously it was a huge fear for me because I felt so much relief,\u201d she said. \u201cThe fear was so much greater than the actual procedure and recovery.\u201d<\/p>\n<h3><strong>Living with the results<\/strong><\/h3>\n<p>Not only does Albrecht have peace of mind about her health, but so does Alissa, who now has a clear idea of what she needs to do.<\/p>\n<p>\u201cI can take steps and be proactive about it because early detection is the only cure,\u201d Alissa said. Those steps include going to a doctor for breast exams twice a year and adding breast MRIs alternated with mammograms when she turns 25. And she\u2019ll get ultrasounds and pelvic exams once or twice annually until she is ready to have her own ovaries removed.<\/p>\n<p>\u201cIt\u2019s definitely scary,\u201d she said. \u201cBut I\u2019m glad that I know that I can take steps to catch it early when it does come around.\u201d<\/p>\n<p>Albrecht said she knows that if genetic testing had been available, it could have saved her sister\u2019s life. But she\u2019s relieved not only to have done all she can to prevent ovarian cancer, but also to empower Alissa with the knowledge to save her own life.<\/p>\n<p>\u201cI\u2019m so tired of cancer \u2014 anything having to do with cancer as a part of my life,\u201d she said.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Martha Albrecht knew cancer ran in her family. Her mom survived breast cancer in the 1970s, as did Albrecht when she was in her 30s. Albrecht\u2019s sister, Linda, died of breast cancer in 2003. In May 2015 Albrecht, 53, received confirmation that she carries the mutated gene BRCA1, one of many genes that are linked [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":2641,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[7],"tags":[28,241,47,1554],"class_list":["post-4782","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stories","tag-cancer-care-oncology","tag-cancer-services","tag-genetic-testing-and-counseling","tag-take-charge-of-your-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Patient gives up ovaries after genetic testing shows cancer risk - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Knowing your family history is the first steps in prevention and early detection of certain types of cancers. 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