Thanks Andy
i emailed the doctor and he answered me. He is very gentle.
I asked him in the email about hte reduced intensity transplant and gave him a brief information about mu son.
When he replied, he was very much interested about his weight and height and whether they go with his age or not. He adviced me to take my time and examin my options and he said that i should give hydroxyurea a try. Generally he thinks transplantation using any regimen is a treatment with significant risks and should not be undertaken without a lot of thought.
Concerning the reduced intensity transplant, his words were as follow:
''....Conventional bone marrow transplant is associated with a 80% risk of infertility, particularly in girls, particularly when transplant is done after or close to puberty.
Reduced intensity transplants use less chemotherapy and have the potential for causing less infertility. These are still considered experimental for Thalassemia though they have been done for many other conditions. Remember, BMT is associated with infertility, but normal sexual development is possible.
Please stay in touch. We will keep you posted about progress in reduced intensity transplants. Talk to your hematologist about Hydroxyurea. Best Regards,
sincerely,
Lakshmanan Krishnamurti, M. D ''
Hope this could be of any help
Manal