Breast cancer in young women: Causes of aggressive cancer types, infertility, mental toll and more

Breast cancer treatment can be mentally and emotionally draining.(Image:Canva)

Although it is commonly believed that breast cancer only affects older women, young people can and do receive this difficult diagnosis. Young women, often classified as those under 40, face physical, emotional, and social obstacles when diagnosed with breast cancer. Their diagnosis might be especially distressing due to concerns about infertility, body image, career disruptions, and the impact on relationships. Additionally, this age group may develop aggressive types of breast cancer that require lengthy medical interventions.

Despite these challenges, young women can navigate their treatment, recovery journeys and cope with their diagnoses using available resources and coping mechanisms. Supporting them requires an understanding of these issues and solutions, says Dr Vaishali Zamre, Director and Head, Breast Cancer Centre, Andromeda Cancer Hospital, Sonipat.

Unique challenges for young women with breast cancer

Aggressive cancer types: Young women are often diagnosed with more aggressive forms of breast cancer, such as Triple-negative breast cancer, which require more intensive treatment regimens.

Fertility concerns: Treatment options like chemotherapy and radiation can adversely affect fertility. Young women must navigate decisions about fertility preservation, such as egg or embryo freezing, often under significant time pressure.

Body image and self-esteem: The physical changes resulting from breast cancer treatment, including hair loss, mastectomy, and weight fluctuations, can profoundly impact a young woman's body image and self-esteem.

Career disruption: Balancing treatment and recovery with career aspirations can be challenging. Many young women face the difficulty of pausing or altering their career plans due to the demands of cancer treatment.

Emotional and psychological impact: A young women receiving a breast cancer diagnosis may experience increased anxiety, depression, and feelings of loneliness. The shock of receiving an unexpected diagnosis during what is typically considered one's prime of life often exacerbates the psychological burden.

Strategies to cope with breast cancer

Seek support networks: Young women with breast cancer can benefit from emotional support and helpful guidance from peers who understand their struggles by joining support groups.

Consider fertility preservation: Consulting with a fertility specialist early in the treatment planning phase can help young women make informed decisions about preserving their fertility.

Emphasise body positivity: Engaging in practices that promote body positivity, such as yoga, meditation, or art therapy, can improve self-esteem and body image.

Career counselling and flexibility: Career counselling can assist in navigating career disruptions and exploring flexible work options during and after treatment.

Professional mental health support: Seeking guidance from a psychologist or counsellor can provide crucial coping mechanisms for managing anxiety, depression, and emotional stress related to the diagnosis and treatment.

Educate and advocate: By educating themselves about the disease and available treatments, young women can better advocate for their medical needs and make informed decisions.