Resources for young women - collated by BreaCan
Victorian Clinical Services
Choice Clinic – The Royal Women’s Hospital offers advice, consultation and treatment for all contraceptive and sexual health needs. Tel 9344 2183
Fertility Clinics/Reproductive Services offer counsellors, a fertility specialist and a specialist gynaecologist. All women are welcome to see a counsellor to discuss the impact of cancer treatment on their reproductive health.
Royal Women’s Hospital 9344 2057 or 9344 2372
Sunshine Clinic 9356 9133
Epping Clinic 9408 2236
Ringwood Clinic 9871 4766
Dandenong Clinic 9706 9995
Jean Hailes Foundation provides services on women’s health and menopause, including alternative/ complementary therapies. Tel 9562 7771 www.jeanhailes.org.au
Menopause Clinics
Mercy Hospital for Women
The Royal Women’s Hospital 9344 2183
Monash Medical Centre 9594 2445
Sexuality Counselling Clinic – The Royal Women’s Hospital 9344 2717
Books or online files
Western Breast Services Alliance Booklet:
What to ask, when: questions for younger women with breast cancer
The booklet covers issues and topics such as: feelings; body image; relationships; contraception; fertility; and menopause. It provides key questions to ask and consider when undergoing treatment.
The booklet is available electronically to health professionals on intranet sites of The Royal Women’s Hospital, The Melbourne Hospital and Western Health. This booklet is also available in printed form from BreaCan
Clinical Practice Guidelines for the Management and Support of Younger Women with Breast Cancer (2004) (Australian)
National Breast Cancer Centre 2004. This book is written for clinicians but can also be sued by women. It is available as a book from the NBCC http://www.nbcc.org.au/resources/resource.php?code=YWC
or online from http://www.nhmrc.gov.au/publications/_files/cp101.pdf
Dr. Susan Love’s Breast Book
Love, Susan M. 4th edition. US: Da Capo Press. 2005
Fighting for our future: how young women find strength, hope and courage with taking control of breast cancer
Murphy, Beth. Sydney: McGraw-Hill. 2003
Can I Still Have Children? – Fertility Options For Young Women Having Chemotherapy and Radiotherapy
Reproductive Services, Royal Women’s Hosptial: Women’s Health Publications. 2004
No Less a Women: femininity, sexuality and breast cancer
Kahane, Deborah Hobler. Alameda, CA: Hunter House. 1995
Sexuality and fertility after cancer
Schover, Leslie R. Brisbane: John Wiley and Sons. 1997
When a Parent Has Cancer: A Guide to Caring For Young Children
Harpham, Wendy Schlessel. New York: Harper Collins. 1997
My Mum Has Breast Cancer, A Family's Journey Lisa Sewards and Harrison Sewards 2006
When A Parent has Breast Cancer: How to Talk to Your Kids. A Guide for parents with cancer, their families and friends Cancer Council NSW 2005
DVDs/CDs
Young Women Talking – New Information for Young Women with Breast Cancer
Young Women Talking’ is a unique resource for young women affected by breast cancer. It includes a 20 minute DVD and supplementary booklet exploring the issues affecting young women with breast cancer as told by a group of young women, in their own words.
The women in the DVD address particular themes which reflect the unique issues that young women face such as early menopause and fertility, the impact on relationships, particularly young families and body image.
The resource has been funded by The Cancer Council Victoria and meets an important information need for young women under 45 years of age.
Young Women Talking also provides a brief guide for health professionals on how they may use the DVD as a resource with young women.
For further information about this resource, or to obtain a free copy please contact BreaCan on 1300 781 500.
So, I have breast cancer, what now? A guide for women and their families
Produced by the Women’s Health Program of Monash University.
Information and support services
BreaCan – Breast Cancer Support
BreaCan is a unique service that provides breast cancer information and support for people with breast cancer, their families and friends. Trained volunteers, all of whom have experienced breast cancer, or had a close association with someone who has, assist people either face-to-face, by phone and/or email at BreaCan’s city based resource centre.
Location: Queen Victoria Women's Centre, Ground floor, 210 Lonsdale Street. Opening times: 10am-2pm every Monday, Wednesday and Thursday
Telephone: 1300 781 500 (cost of a local call for country callers)
Website: www.breacan.org.au
BCKOnline
Welcome to Breast Cancer Knowledge Online (BCKOnline) – your gateway to breast cancer information. This portal is the combined work of women with breast cancer and a team of Monash University researchers. It can be tailored to the needs of women under 40 or 40 – 49. There are over 1000 items for women under 40 and another 1000 items for women 40-49.
Web address: http://www.bckonline.monash.edu.au
The Cancer Council Victoria (TCCV)
TCCV provides information and support through the Cancer Helpline, Multilingual Cancer Information Line, Look Good Feel Better Program, Cancer Connect and other support groups.
Telephone: Cancer Helpline 13 11 20 (For all states of Australia)
Website: www.cancervic.org.au
Support groups
The Young Ones
The Young Ones is a social support group for Victorian women under 45 who have experienced breast cancer. Telephone: 0411 235 964 Website: www.theyoungones.asn.au
Gippsland Young Women’s Telelink Cancer Support Group
An innovative telephone counselling support group for women under 45 years living with cancer in Gippsland. For more information or to register your interest contact Alma Ries, Community Health Nurse, Gippsland Women’s Health Service Free call 1800 805 448 (Mon-Thurs)
Advocacy groups
Young Action on Breast Cancer (YABC)
YABC is committed to advocating the specific needs and issues which face younger women affected by breast cancer, providing a voice.
YABC Care Package
On Wednesday 18th October, YABC were delighted to have Terry Bracks launch a Care Package for women under the age of 40 receiving treatment for breast cancer at Western Health Hospital.
The package has been put together by young women, to help other young women with some of the basics, such as help with cleaning, child care, lawn mowing and of course some items to help pamper them. The breast care nurses at Western Hospital have enthusiastically supported the idea and will distribute the package to patients. The Care Package has been made possible through the generous donations from MOR, Jim's Services, Dial An Angel, Seddon Therapies, Arbre, Collins Booksellers as well as many local businesses. See some of the media articles from the launch on the website at: http://www.theyoungones.asn.au/articles_of_interest
YABC Young Women’s Conference
Planning is underway for a two day Conference next October, entitled Up Close and Personal 2 following the successful forum in 2002. Day One will feature experts and young women’s experiences that focus on Fertility, Menopause and Sexuality, an evening celebration will follow. Day Two will feature a hypothetical session, providing young women an opportunity to hear about research and future developments, as well as a chance to participate in discussions around issues related to young women and help to set the agenda for action. Sponsorship will be provided to assist interstate and rural participation. To assist with our planning we encourage young women to write to us about the issues that are important to them and to tell us their stories. Further information will appear on the Young One’s website by April next year.
Contacting YABC
Young women affected by breast cancer are invited to join YABC.
Email ya-bc@hotmail.com Phone: 0411 235 964 orVisit: http://www.theyoungones.asn.au/young_action_on_breast_cancer
Current clinical trials specifically for young women
There are three trials designed for young women with early breast cancer. They are all cooperative groups trials and available at various sites in Australia.
IBCSG 24-02 SOFT (Suppression of Ovarian Function Trial) - this trial is suitable for premenopausal women with hormone receptor positive breast cancer when the woman's ovaries are continuing to produce oestrogen (ie remain premenopausal) after chemotherapy (if given). For the hormonal part of their breast cancer treatment women are randomized to
(i) 5 years of tamoxifen alone (this is the standard arm)
(ii) 5 years of ovarian function suppression + tamoxifen
(iii) 5 years of ovarian function suppression + exemestane
The ovarian function suppression can be achieved by monthly injections (reversible method of inducing menopause) or by permanent methods (eg oophorectomy). Women can enter the trial up to 8 months after completion chemotherapy - ie they may have their periods stop for a while after chemotherapy and then restart and they can still be suitable for the trial.
IBCSG 25-02 TEXT (Tamoxifen and Exemestane Trial) - this trial is suitable for premenopausal women with hormone receptor positive breast cancer when the doctor and woman think she should definitely receive ovarian function suppression as part of her treatment. Chemotherapy is optional according to patient and clinician preference. Randomization for hormonal part of treatment to:
(i) 5 years of ovarian function suppression + tamoxifen
(ii) 5 years of ovarian function suppression + exemestane
IBCSG 34 POEMS (Prevention of Early Menopause Study) - this trial is suitable for premenpausal women with hormone receptor negative (ER and PR negative) breast cancer who will receive adjuvant chemotherapy and want to avoid premature menopause which is a common side effect of chemotherapy. Women are randomized to receive in conjunction with their chemotherapy
(i) monthly injections of zoladex or (ii) no zoladex
Prue Francis from Peter MacCalllum Cancer Institute chairs SOFT and TEXT within Australia and Kelly Phillips also from Peter MacCalllum Cancer Institute chairs POEMS if additional information is required. There is some information on ANZ BCTG website in clinical trials section, see http://www.anzbctg.org/default.asp?file=clintrials.asp&TrialType=Main
Oncologists can provide contact with these trials.
Web sites
Aussie Breast Cancer Forum
An email forum for sharing the experience of breast cancer and for their family, friends, carers and loved ones. http://www.bcaus.org.au/forum/
National Breast Cancer Centre (NBCC)
Some information for young women can be found at http://www.breasthealth.com.au/treatment/youngerwomen.html
Breast Cancer Network Australia (BCNA) The BCNA website has a section devoted to young women with breast cancer, with personal stories, information about support groups and services relevant for young women with breast cancer and their families
http://www.bcna.org.au/cms/details.asp?NewsID=269 Young women’s info.
New South Wales Breast Cancer Institute
Has a few young women’s stories Website: www.bci.org.au They also have an email support group for young women. http://www.bci.org.au/young_bmail.htm
The American Cancer Society
Because this is a general cancer site it is necessary to search for young women and breast cancer. There is a lot of information available. Website: www.cancer.org
The Young Survival Coalition, an international, non-profit network dedicated to the concerns and issues unique to young women and breast cancer. Through action, advocacy and awareness, the YSC seeks to educate the medical, research, breast cancer and legislative communities and to persuade them to address breast cancer in women 40 and under. The YSC also serves as a point of contact for young women living with breast cancer. Website: www.youngsurvival.org