It must be nipped in the bud so that you have, with the early diagnosis, that support system from an empathetic, kind physician, who understands and doesn't normalize it and say, “There, there, that's what women have to have. Go and get pregnant and that will take care of everything.” That is not the answer.
You need support in the home. You need the parents and the significant other to be part of this whole treatment, with timely referral to an appropriate counsellor, psychologist or possibly even a psychiatrist, because we certainly have seen women have severe effects and take their life. There's data to support this.
You bring up something that's very important, and it's the whole approach. Because that woman isn't going to be going right now to the big centre; she needs her family doctor to support her, the specialist to support her, and she needs to be able to reach out to the other community members to know they are all looking after her.