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- Benefits of telehealth for cancer survivors
Convenience and accessibility Telehealth has revolutionized healthcare delivery, offering numerous benefits for cancer survivors. Through virtual consultations and remote monitoring, telehealth provides convenience and accessibility, overcoming barriers such as distance, transportation, and scheduling conflicts. Survivors can connect with their healthcare providers from the comfort of their own homes, reducing the need for frequent travel and allowing for more flexible appointment times. How to prepare for a telehealth appointment Preparing for a telehealth appointment is crucial to ensure a smooth and effective experience. Start by ensuring you have a stable internet connection and a device (such as a smartphone, tablet, or computer) with a camera and microphone. Test the technology beforehand to address any potential issues. Make a list of questions or concerns you wish to discuss during the appointment. It can be helpful to gather any relevant medical records, test results, or medication information beforehand, ensuring they are easily accessible during the virtual consultation. Dress comfortably and find a quiet, private space where you can engage in the appointment without distractions. Empowering self-management Telehealth empowers cancer survivors to take an active role in their healthcare and self-management. Virtual appointments allow for open communication, enabling you to discuss symptoms, side effects, and emotional well-being with your healthcare providers. Remote monitoring tools, such as wearable devices or at-home monitoring kits, enable you to track your vital signs, medication adherence, and progress, providing valuable data for healthcare professionals to assess and adjust treatment plans. Telehealth also promotes education and self-care. You can access online resources, educational materials, and support groups to enhance your knowledge and connect with peers. Remote consultations often encourage you to actively participate in decision-making and goal-setting, fostering a sense of empowerment and control over your health journey. By embracing telehealth, you can overcome barriers to care, prepare for appointments effectively, and take charge of your self-management. In fact, telehealth offers numerous benefits, including convenience, accessibility, and the empowerment to actively engage in your healthcare. With the continued advancements in technology, telehealth is playing a vital role in improving the overall well-being and quality of life for cancer survivors. Get started with The After Cancer
- Cancer in the words of a 4x Leukemia survivor - by Emily Sandusky
Emily Sandusky is a 4x Leukemia survivor. She's a former Special Education teacher and author of Hope Triumphs ALL. She's an independent consultant with a holistic health, skin, and beauty company where she helps people discover the powerful connection between mind, body, skin, and soul. Hi! I am Emily Sandusky! I am a 4x Leukemia survivor. Cancer is one loaded word that can be described by a million other words, perspectives, emotions, feelings, frustrations, worries, doubts, confusion, and overwhelm. A word that no one wants to be applied to their life. A word that often leads to, “Why me?”. My cancer story starts when I was first diagnosed with Leukemia in kindergarten when I was 5 years old. I didn’t understand the severity of it all. I knew it meant a lot of “pokes” and throwing up! At the time anti-nausea medicine and ports were not a thing. The perks were I missed a lot of school, got chips from the vending machine, spend time with my mom, and extra attention. After two years I was done with chemo. When I was 11 years old, I relapsed. As a middle schooler, I was embarrassed and self-conscious to lose my hair. I hated people looking at me wondering what was wrong with me and missing sports and friends. I did my best to continue life - going to school, planning chemo around tests, spending time with friends, and playing soccer. Two more years of chemo and into remission. When I was a junior in high school, 17 years old, about to be a starter on the varsity soccer team, l relapsed again. This time severe hip pain led to the discovery that Leukemia was back. It felt like my world was shattering around me. I was playing the best soccer of my life, surrounded by incredible friends, and loving life…and then this! Cancer! I was angry and frustrated and disappointed and couldn’t believe I had to go through this again! I had a stem cell transplant, responded great, and back into remission I went. During my freshman year in college at Northwestern University, 19 years old, I relapsed again. The 4th and final time having Leukemia. Two more years of chemo and anti-body treatment and I was back in remission. This time was different. My body really struggled. I had an infection in my face that quickly spread throughout my body. A reaction to a medication caused severe diarrhea and I lost 30 pounds in a few weeks. I had a neurological reaction to a medication that left me not remembering a whole week of my life. It was scary! Through it all I knew I was going to make it. I knew there was a bigger plan for me. I have been cancer free for 21 years! I deal with some late effects like being infertile and having a type of arthritis called Avascular Necrosis which has led to 4 joint replacements and cataracts. My husband Ryan and I live in Colorado with our 7-year-old identical twin boys! I have a business where I get to educate & empower people to take care of their bodies, feel their best, and create a life they love full of joy, abundance, and health. I would never wish cancer upon anyone, however, I am grateful for the perspective, purpose, and connections it has given me. I wrote a book called Hope Triumphs ALL to give other people the extra courage and strength they need to get through their own challenges and obstacles. Stay tuned for a children’s book that is in the works! We don’t know how many days we are going to get, so live every day with an open heart, love fiercely, and live life to the fullest…it is meant to be enjoyed! Get started with The After Cancer
- Cancer pain: understand & manage it to improve your quality of life
Cancer pain is a common and distressing symptom that affects many cancer patients. It can significantly impact their quality of life and often requires a comprehensive approach to manage effectively. In this article, we will explore the symptoms, diagnosis and treatment, and coping strategies for cancer pain. How does cancer pain feel like Cancer pain can present in different ways and varies depending on the type and stage of cancer. Some common symptoms include: A dull or sharp ache in the affected area Numbness or tingling sensations Shooting or burning pain Pain that is worse with movement or pressure Headaches or migraines Fatigue and weakness Cancer pain diagnosis and treatment To diagnose cancer pain, doctors will perform a physical exam, review medical history, and conduct imaging tests or other diagnostic procedures to identify the underlying cause of pain. Treatment for cancer pain depends on the type and severity of pain and may include: Medications: Pain relievers, such as opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), and corticosteroids, can help manage cancer pain. Other medications like antidepressants and anticonvulsants may also be prescribed for certain types of pain. Interventional procedures: Nerve blocks, spinal cord stimulation, and other procedures can help relieve cancer pain by interrupting pain signals. Alternative therapies: Complementary therapies like acupuncture, massage, and mindfulness-based interventions may be used alongside conventional treatments to manage cancer pain. Strategies to manage cancer pain In addition to medical treatment, there are several coping strategies that cancer patients can use to manage pain and improve their quality of life. These include: Relaxation techniques: Deep breathing, meditation, and guided imagery can help reduce stress and tension, which can exacerbate pain. Exercise: Low-impact exercise such as walking or swimming can help improve strength and flexibility, reducing pain and stiffness. Distraction: Engaging in enjoyable activities, such as reading or listening to music, can help distract from pain and improve mood. Support: Talking with loved ones, joining a support group, or seeing a therapist can help patients process their emotions and find a sense of community. Conclusion Cancer pain is a challenging symptom that requires a comprehensive approach to manage effectively. By working with healthcare providers and utilizing coping strategies, cancer patients can achieve improved pain management and overall quality of life. Get started with The After Cancer
- Aromatherapy can help sleep issues, dry mouth and pain after cancer
How does aromatherapy work? Aromatherapy is a complementary therapy that utilizes the power of essential oils from plants (flowers, herbs, or trees) to improve physical, emotional and spiritual well-being. The inhalation or topical application of these oils can stimulate the olfactory system, which is connected to the brain's limbic system responsible for emotions and memory. Aromatherapy can help create a sense of relaxation, reduce stress, and alleviate certain symptoms experienced by cancer survivors. What science says about aromatherapy after cancer Scientific studies have shown promising results regarding the benefits of aromatherapy for cancer survivors. Aromatherapy has been found to improve sleep quality, reduce anxiety and depression, alleviate pain, and manage symptoms such as dry mouth. Essential oils like lavender, chamomile, peppermint, and ginger have been commonly studied for their therapeutic effects. The soothing and calming properties of lavender, for example, have been found to promote better sleep and relaxation. Peppermint and ginger oils may help relieve pain and discomfort. However, while aromatherapy can provide relief, it should not be seen as a replacement for medical treatment or professional advice. Consult a healthcare professional to relieve symptoms While aromatherapy can be beneficial, it is essential to consult with your healthcare professionals before incorporating it into your treatment plan. Certain essential oils may interact with medications or have contraindications for specific health conditions. A healthcare professional can provide guidance on the appropriate use of essential oils, taking into consideration your individual circumstances and potential risks. Healthcare professionals can recommend reputable sources for obtaining high-quality essential oils and provide instructions on proper dilution and application methods. They can also offer personalized advice based on the specific symptoms and needs of the individual. Aromatherapy can in fact be a valuable tool for cancer survivors in managing sleep issues and pain after cancer. Through the use of carefully selected essential oils, it is possible to enhance relaxation, promote better sleep, and alleviate certain symptoms. However, it is crucial to consult a healthcare professional to ensure safe and appropriate use, especially considering individual health conditions and medications. With professional guidance, aromatherapy can be incorporated as a complementary approach to support your well-being on your healing journey. Get started with The After Cancer
- Cancer can affect your sex life, but not forever
Self-esteem issues can have a significant impact on the sex life of cancer patients. The experience of cancer can lead to various physical, emotional, and psychological changes that can affect a person's self-image and confidence, which in turn can influence their sexual well-being. Ways self-esteem issues impacting patients' sex life Body image concerns: Cancer treatments, such as surgery, chemotherapy, or radiation, can lead to changes in physical appearance, including scars, hair loss, weight fluctuations, or alterations in body shape. These changes may cause individuals to feel self-conscious and negatively impact their body image. Feeling uncomfortable or dissatisfied with one's body can diminish sexual confidence and desire. Intimacy and vulnerability: Cancer can bring about feelings of vulnerability, as individuals may have experienced a loss of control over their bodies and lives. This vulnerability can affect their ability to be intimate with a partner. Fear of rejection or judgment, concerns about how they will be perceived by their partner, or anxiety about physical limitations can create emotional barriers to sexual intimacy. Fatigue and physical limitations: Cancer and its treatments can often cause fatigue, weakness, or pain, which may result in reduced physical stamina or limitations in sexual activities. These physical challenges can lower self-esteem and contribute to feelings of inadequacy or frustration, affecting a person's ability to engage in sexual activities or enjoy them fully. Emotional and psychological impact: The emotional and psychological toll of cancer, including anxiety, depression, fear of recurrence, or body image issues, can significantly impact a person's self-esteem. These negative emotions may lead to a decreased interest in sex, diminished sexual satisfaction, or difficulty in establishing and maintaining intimate connections. Addressing self-esteem and intimacy issues in cancer patients Open communication: Encourage open and honest communication between partners about their concerns, desires, and expectations. Creating a safe and non-judgmental space to discuss feelings and fears can foster understanding and intimacy. Professional support: Cancer patients should seek support from healthcare providers, therapists, or support groups specialized in oncology or sexual health. These professionals can provide guidance, strategies, and support tailored to the unique challenges faced by them. Self-care and body positivity: Try self-care practices that promote self-love and acceptance. This can involve engaging in activities that boost self-confidence, such as exercise, mindfulness, or participating in support groups where individuals can share their experiences and learn from others facing similar challenges. Sensate focus and intimacy exercises: Sensate focus exercises can help individuals reconnect with their bodies, enhance intimacy, and reduce performance pressure. These exercises involve non-sexual touch and communication, gradually progressing to sexual touch and intimacy. Adaptation and exploration: Couples can try to explore new ways of intimacy and sexual expression that accommodate physical limitations or changes. This may involve trying different sexual positions, using aids or devices, or focusing on alternative forms of sexual pleasure and connection. Each individual's experience with self-esteem and its impact on their sex life will vary. Patience, understanding, and support from partners, loved ones, and healthcare professionals are crucial in navigating these challenges and finding ways to maintain a fulfilling and satisfying sex life during and after cancer treatment. Get started with The After Cancer
- Life after prostate cancer: coping, recovery, and support
Prostate cancer is one of the most common cancers affecting men worldwide. Survivors of prostate cancer may experience physical, emotional, and psychological challenges after completing treatment. Here is what you need to know about life after prostate cancer, including coping strategies, recovery tips, and support resources. Coping with life after prostate cancer Coping with life after prostate cancer can be overwhelming. Patients may experience a range of emotions, including anxiety, fear, depression, and uncertainty about the future. Here are some coping strategies that can help: Seek support: Talking with loved ones, joining a support group, or seeing a therapist can help patients process their emotions and find a sense of community. Manage symptoms: Prostate cancer survivors may experience symptoms such as erectile dysfunction, urinary incontinence, and fatigue. Working with healthcare providers to manage these symptoms can help improve quality of life. Practice self-care: Taking time for self-care activities such as meditation, yoga, or hobbies can help promote relaxation and reduce stress. Address body image concerns: Prostate cancer treatment can affect a patient's physical appearance, and this may impact their self-esteem. Connecting with support groups or speaking with a counselor can help patients navigate these feelings. Recovery after prostate cancer treatment Recovering from prostate cancer treatment can take time. Patients may experience side effects from treatment that persist for weeks, months, or even years. Here are some tips to help with recovery: Follow up with healthcare providers: Regular follow-up visits with healthcare providers can help monitor for recurrence, manage side effects, and address any new concerns. Practice good nutrition: Eating a balanced diet with plenty of fruits, vegetables, and lean protein can help support recovery and overall health. Stay on top of screenings: Patients should continue to follow recommended prostate cancer screening guidelines to detect any potential recurrence early. Consider physical therapy: Physical therapy can help patients regain strength, mobility, and function after prostate cancer treatment. Support resources for prostate cancer survivors Prostate cancer survivors may benefit from a range of support resources, including: Support groups: Local and online support groups can provide a sense of community and connection with others who have gone through similar experiences. Mental health resources including counseling and support groups. Survivorship programs that provide education, resources, and support for survivors and their families. Conclusion Life after prostate cancer can be challenging, but with the right support and resources, patients can successfully navigate the post-treatment period. Coping strategies, recovery tips, and support resources can all help promote physical, emotional, and psychological well-being for prostate cancer survivors. Remember that each patient's experience is unique, and there is no right or wrong way to navigate life after prostate cancer. Patients should work with their healthcare team to develop a personalized plan that meets their individual needs and goals. Get started with The After Cancer
- Prostate cancer: symptoms, diagnosis, treatment, and life after
It is the second most common cancer among men worldwide, with over one million new cases diagnosed each year. In this article, we will discuss the symptoms, treatment options, and life after prostate cancer. Symptoms of prostate cancer In its early stages, prostate cancer may not cause any noticeable symptoms. However, as the cancer grows, it can cause the following symptoms: Difficulty urinating or frequent urination, especially at night Blood in the urine or semen Pain or discomfort during urination Erectile dysfunction Painful ejaculation Pain or stiffness in the lower back, hips, or upper thighs Prostate cancer diagnosis and treatment Prostate cancer can be diagnosed through various tests, including a prostate-specific antigen (PSA) blood test, a digital rectal exam (DRE), or a prostate biopsy. These tests can help detect the presence of cancer cells in the prostate gland. There are several treatment options available for prostate cancer, including surgery, radiation therapy, hormone therapy, and active surveillance. The choice of treatment depends on the stage and grade of the cancer, as well as the overall health of the patient. Surgery involves the removal of the prostate gland, while radiation therapy uses high-energy beams to kill cancer cells. Hormone therapy involves blocking the hormones that fuel the growth of cancer cells. Active surveillance involves monitoring the cancer through regular check-ups, without immediate treatment. Life after prostate cancer Life after prostate cancer can be challenging, both physically and emotionally. The side effects of treatment can include incontinence, erectile dysfunction, and fatigue. It is important for patients to discuss these concerns with their healthcare team, as there are ways to manage these symptoms. Prostate cancer survivors may also experience mental health issues, such as anxiety or depression. Support groups and counseling can be helpful in addressing these concerns. Diet and exercise can also play a role in prostate cancer survivorship. A healthy diet rich in fruits, vegetables, and whole grains can help improve overall health, while regular exercise can help reduce fatigue and improve mood. Conclusion Prostate cancer is a common type of cancer among men, but with early detection and treatment, the chances of a successful outcome are high. It is important for patients to discuss their treatment options and concerns with their healthcare team, and to seek support when needed. Life after prostate cancer may present challenges, but with proper care and management, survivors can lead fulfilling and healthy lives. Get started with The After Cancer
- Sex therapy for cancer survivors: what you need to know
Cancer and its treatment can take a toll on a patient's physical and emotional health, including their sexual health. Cancer treatments, such as chemotherapy and radiation therapy, can cause sexual dysfunction in both men and women. Cancer survivors may also experience physical and emotional changes that affect their sexual function and desire. These issues can have a significant impact on a patient's quality of life and their relationship with their partner. Fortunately, sex therapy can help cancer patients and survivors address these challenges and improve their sexual health and well-being. In this article, we will discuss the benefits of sex therapy and what you can expect from this type of therapy. What is sex therapy? Sex therapy is a form of talk therapy that focuses on addressing sexual issues and concerns. The therapy can be conducted individually or with a partner, and it typically involves a series of sessions with a trained therapist. Sex therapists are trained to help patients explore their feelings and attitudes about sex, identify specific sexual issues, and develop strategies to improve sexual function and satisfaction. Sex therapy can help patients and survivors address a wide range of sexual issues, including: Low sexual desire Difficulty achieving or maintaining an erection (erectile dysfunction) Pain during sex (dyspareunia) Difficulty achieving an orgasm Vaginal dryness or tightness Loss of sexual confidence or self-esteem Fear or anxiety related to sexual activity Relationship issues related to sexual dysfunction Why do cancer patients and survivors need sex therapy? Cancer treatments can cause a variety of sexual problems. For example, chemotherapy and radiation therapy can cause vaginal dryness, painful intercourse, and erectile dysfunction. Surgery can also lead to sexual dysfunction, especially if the patient undergoes a procedure that affects the pelvic region. Additionally, cancer treatments can lead to hormonal changes that can affect sexual desire and function. Cancer survivors may also experience psychological issues that affect their sexual health. Survivors may feel anxious or depressed about their diagnosis, treatment, or prognosis. They may also experience body image issues, which can affect their sexual confidence and self-esteem. Sex therapy can help cancer patients and survivors address these issues by providing a safe and supportive environment to explore their feelings and attitudes about sex. The therapy can help patients develop coping strategies to manage sexual dysfunction, improve communication with their partner, and enhance their sexual satisfaction and well-being. What can I expect from sex therapy? Sex therapy typically involves a series of one-on-one sessions with a trained therapist. The number of sessions can vary depending on the patient's needs and goals. In the first session, the therapist will conduct a comprehensive assessment to gather information about the patient's sexual history, concerns, and goals. The therapist may also conduct physical exams or order tests to rule out underlying medical conditions that may be causing sexual dysfunction. Once the therapist has gathered the necessary information, they will work with the patient to develop a personalized treatment plan. The plan may include: Education about sexual anatomy and function Behavioral exercises to improve sexual function Techniques to manage anxiety and stress related to sexual activity Strategies to improve communication with a partner Counseling to address relationship issues related to sexual dysfunction Referral to a specialist for further evaluation or treatment (e.g., a urologist or gynecologist) The therapist may also recommend exercises or homework assignments for the patient to complete between sessions to reinforce the skills and techniques learned in therapy. Conclusion Cancer and its treatment can have a significant impact on a patient's sexual health and well-being. Sex therapy can help patients and survivors address these issues and improve their sexual function, satisfaction, and quality of life. Get started with The After Cancer
- Intimate life after cancer: navigating fertility and sexual health
Cancer and its treatments can have a significant impact on a person's intimate life, including fertility and sexual health. Many cancer survivors report changes in their sexual function, such as erectile dysfunction or painful intercourse, as well as concerns about their ability to have children after treatment. However, it's important to know that there are options and resources available to help navigate these challenges. Fertility after cancer Cancer treatments, such as chemotherapy and radiation therapy, can damage the reproductive organs and affect fertility in both men and women. However, advances in reproductive medicine have made it possible for many cancer survivors to have biological children after treatment. Fertility preservation options, such as sperm and egg freezing, embryo freezing, and ovarian tissue preservation, are available for individuals who wish to preserve their fertility before cancer treatment. For those who did not preserve their fertility before treatment, there are still options available. In vitro fertilization (IVF) and other assisted reproductive technologies can help individuals and couples conceive after cancer treatment. Adoption and surrogacy are also options for building a family after cancer. Erectile dysfunction Erectile dysfunction, or the inability to achieve or maintain an erection sufficient for sexual intercourse, is a common concern among male cancer survivors. Erectile dysfunction can be caused by cancer treatments, such as surgery, radiation therapy, and hormone therapy, as well as psychological factors such as anxiety and depression. There are various treatments available for erectile dysfunction, including oral medications, vacuum erection devices, penile injections, and penile implants. Talking to a healthcare provider or a urologist can help determine the best treatment option for an individual's needs. Cancer and impotence In addition to erectile dysfunction, some cancer survivors may also experience decreased sexual desire or decreased sexual satisfaction. These changes can be caused by physical changes to the body, as well as psychological factors such as anxiety and depression. Counseling and therapy can help individuals and couples navigate these changes and find ways to maintain intimacy and connection. Open communication and a willingness to explore new ways of being intimate can also be helpful. Getting pregnant after chemo Chemotherapy can cause temporary or permanent damage to a woman's reproductive system, leading to difficulty getting pregnant after treatment. The extent of the damage depends on the type of chemotherapy and the woman's age at the time of treatment. If a woman is interested in getting pregnant after chemotherapy, she should talk to her healthcare provider about her fertility preservation options before treatment. If she did not preserve her fertility before treatment, there are still options available. In vitro fertilization (IVF) and other assisted reproductive technologies can help women conceive after chemotherapy. Conclusion Cancer and its treatments can have a significant impact on a person's intimate life, but there are resources and options available to help navigate these challenges. Fertility preservation options, treatments for erectile dysfunction, and counseling can all play a role in helping cancer survivors maintain their sexual health and build families after treatment. It's important to talk to a healthcare provider or a specialist in reproductive medicine to explore these options and find the best approach for each individual's needs. Get started with The After Cancer
- Early Menopause - by Rebecca Walden
Rebecca C. Walden is a writer/speaker on breast cancer, faith, mental health, and parenting good humans. My body is still working out. I would love to tell you with certainty what breast cancer surgeries, chemotherapy and estrogen therapy will do to your menopausal status. But the truth is, my body is still working out the details. Just as surely as I think I know what’s what, I’m thrown for a loop (which means just in case supplies are stashed in every purse and my car console – and also means these tend to last a long time, because early menopause is nothing if not erratic). My Gynecologist told me I was menopausal Until Labor Day 2022, I was quite confident – even in the face of my oncologist betting I was wrong – that chemo-pause had sealed the deal. I had clocked a full 23 months with not so much as one sign of a menstrual cycle. I’d even had initial bloodwork at my (now retired) gynecologist’s office, which confirmed my FSH level as clearly in menopausal range. “Your ovaries took the hit,” she texted me, after sharing the findings. “But that’s good because you don’t have any estrogen production which will complicate everything.” Fine by me. I’d already been enjoying one of the few silver linings of cancer treatment – a faster getting ready routine and the savings on haircare while my hair took its time growing out. Why not add saving more without having to buy feminine products to the list? And getting to swim anytime without extra hassle or worry? Hmmm.... maybe not Back to Labor Day 2022 – the joke was on me. My husband might’ve heard these words from the beautifully appointed master bath of our Texas Hill Country Airbnb: “Are you freaking kidding me?!” Pro tip – don’t travel without essential supplies, even if you think you’re beyond essential supplies season. Trust me on this. As though my body were making up for lost time, I didn’t even get a full 28-day reprieve. Of course I didn’t pack any essential supplies (see above) for a major business trip in Atlanta at the end of the month because the thing had just happened. Right call, right? Wrong, wrong, wrong. This is how you find yourself in an Uber with three male work colleagues (who happen to be some of the greatest humans on the planet) who are not only willing, but happy to make an Uber stop at the nearest pharmacy so you can get what you need (again, see above #essentialsupplies…to borrow from a famous credit card campaign many moons ago, don’t leave home without them). That’s when it got scary. I couldn’t stay on top of the bleeding. Think trips to the restroom every 10 minutes or so. Think ruined clothing. Think “Am I even able to lose this much blood and be ok?” I lost count of how many times I thanked the good Lord that I’d chosen black pants and a long tunic for that plane ride home. A CBC panel the next day revealed that I was A-OK and that this was likely my body trying to regulate itself after months of intense cancer treatment. Gosh that would’ve been good to know before I thought I was hemorrhaging. It also would’ve been good information to know before I subjected myself to the painful procedure that is an endometrial biopsy. Vaginal bleeding can be a sign of endometrial cancer, which I’d been told I am now at slightly higher risk of developing through Tamoxifen treatment. Not that I regret the decision. If cancer taught me anything, it’s that you don’t bury your head in the sand when unusual for you symptoms make themselves known. Praise be it wasn’t endometrial cancer (though the report said the sample wasn’t ideal – to this I tell the medical community, “Find a better way to do that procedure!” Ha. But also I’m not kidding). Tracking my cycle has become an exercise in futility I’m now almost a year out from that and tracking my cycle has become an exercise in futility. I’ve had a period twice since then, with no predictability or pattern. I’ve also noticed some really pronounced and unpleasant symptoms that make me think I’m inching ever closer to (albeit early) menopause. As an active and otherwise healthy 45-year-old, there is no reason why my hip joints should hurt to the point that it’s hard to walk. Adding a scoop of powdered collagen to my morning coffee has actually helped this tremendously, much as I doubted it. But things just ache in a way that shocks me, given the amount of exercise I typically fit in during a given week. Is it post-chemo? Is it middle age? Is it Tamoxifen? Is it menopause? I suspect it’s a little bit of all these things, but only time will tell. The tears sometimes take me by surprise, and the things that can make me irritable on a moment’s notice are a source of embarrassment. I do hope this season hurries up and takes care of what it needs to; in the meantime, I’ll rely on God’s grace and my family’s good humor. After all, this too shall pass. Check out our Breast Cancer Online Program
- Farewell Cancer… Hello Menopause -- by Dr. Lisa Jervis, MD
Dr. Lisa Jervis, MD, is part of The After Cancer's Care Team. She's board-certified in both Obstetrics/Gynecology and Integrative Medicine. If it’s not one thing, it’s something else! Congratulations…you have been through a lot both physically and emotionally to get to this point. This is definitely something to appreciate, if not celebrate. Menopause will come eventually—whether by natural progression of the aging process or by “early invitation.” Many survivors don’t purposefully send that early invitation, but either by surgical intervention, chemotherapy, or anti-estrogen treatments, the door is opened sooner than anticipated. Menopause affects everybody differently. Some women breeze right through with minimal symptoms; some women are miserable day and night, but most women fall somewhere in between those scenarios. The good news is that there are many integrative approaches to lifestyle choices and options to help with symptom management. No matter the cause of menopause, healthy lifestyle choices are always recommended when possible. The changes can affect how we feel almost immediately The changes associated with menopause are mostly due to decreasing levels of female hormones (estrogen and progesterone) and male hormones to a lesser degree. These changes can affect how we feel almost immediately with common symptoms of hot flashes, night sweats, anxiety, sleep disturbances as well as genito-urinary dryness, discomfort, and decreased libido. Not only do we experience these irksome symptoms, but the decreased hormone levels (which were once protective of our health) are now setting us up for an increased risk of cardiovascular disease, stroke, bone loss (osteoporosis) as well as changes in brain health, skin and gut health. The big picture of your health I always like to start with the “big picture” of overall health, as that’s what this is all about! An “Anti-inflammatory” or Mediterranean style eating pattern is beneficial for almost any condition or ailment. With regard to menopause and survivorship, I would encourage ample intake of plant-based (not necessarily vegetarian) and whole foods (avoiding/limiting simple sugars and processed foods). Emphasize foods rich in calcium, Vitamin D, omega 3 fatty acids, anti-oxidants (fruits, vegetables, green tea, etc), fiber (whole grains, beans, legumes), whole soy foods, and consider adding fermented foods (for the microbiome) and cooked Asian mushrooms. I cannot stress the importance of some form of activity/movement or exercise to help with everything from decreased risk of cancer recurrence, bone loss and dementia as well as protection of cardiovascular health and alleviation of many of the menopausal symptoms discussed previously. Integrative treatments for symptoms of menopause By definition, integrative treatments for symptoms of menopause can incorporate both conventional medical and more natural (non-pharmaceutical) options. The most effective known treatment for symptoms of menopause is hormone therapy, which may be appropriate for some women. However, for many survivors of breast cancer, especially hormone receptor-positive cancers, systemic hormone therapy is not an option. Fortunately, there are many options to help you that are safe in this setting. Consider the following summary of integrative options to manage menopausal symptoms (focusing on hot flashes): Limiting intake of alcohol, sugar, and spicy foods may be helpful for some people’s hot flashes. Using fans, weighted cooling blankets and pillows are simple changes that may be successful and easy to implement. Herbal supplements such as Black Cohosh and Purified Pollen Extract have been used. Other herbs include: Valerian, kudzu, hops and sage leaf. Essential oils: Clary Sage and Rose Geranium. Studies have demonstrated that acupuncture can be beneficial in lessening hot flashes and anxiety associated with menopause. Mind-body modalities such as guided imagery and clinical hypnosis are useful adjuncts. Conventional non-hormonal medications such as venlafaxine (Effexor) and neurontin (Gabapentin), that may help reduce hot flashes, are some of the first line options recommended by oncologists. These medications are traditionally used for other purposes such as depression, anxiety and pain modulation. They can be associated with a fair amount of side effects and are not always tolerated. Recent developments 2 fairly recent developments of conventional options for menopausal symptoms have been published. In May 2023, the FDA approved a successful non-hormonal treatment called Fezolinetant which helps control the thermoregulatory center in the brain, significantly reducing the amount of hot flashes experienced in subjects. Also good news with regards to genito-urinary syndrome of menopause (aka vaginal dryness or discomfort) was published in the most recent Journal of Obstetrics & Gynecology. A large analysis did not find an increased risk of breast cancer recurrence within 5 years in women with a personal history of breast cancer who were using vaginal estrogen for their symptoms. This included women with estrogen receptor positive cancers. Although we can’t stop menopause from finding us—we can work together to take control and move forward in health, peace, and comfort. Check out our Breast Cancer Online Program
- The benefits of Integrative Oncology for cancer patients
Integrative oncology is a comprehensive approach to healthcare that incorporates both conventional and complementary therapies. For cancer patients, integrative medicine can provide many benefits, including improved quality of life, reduced side effects of treatment, and better overall health outcomes. One of the key benefits of integrative oncology for cancer patients is the ability to address the whole person, including their physical, emotional, and spiritual needs. This can be especially important during cancer treatment, which can be both physically and emotionally challenging. Integrative oncology can include a range of therapies, such as acupuncture, massage therapy, meditation, and nutritional counseling. These therapies can help alleviate symptoms such as pain, fatigue, and nausea, while also improving overall well-being and quality of life. In addition, integrative oncology can help patients manage the side effects of cancer treatment. For example, acupuncture has been shown to reduce chemotherapy-induced nausea and vomiting, while massage therapy can help relieve muscle tension and pain. Finally, integrative oncology can help patients take an active role in their own healthcare. By incorporating lifestyle changes such as exercise and healthy eating, patients can help improve their overall health and reduce their risk of cancer recurrence. If you are a cancer patient, it is important to talk to a healthcare provider about integrative oncology and whether it might be a good option for you. With the right combination of conventional and complementary therapies, you can improve your quality of life and overall health during and after cancer treatment. Get started with The After Cancer