@paz1956 Welcome to Mayo Clinic Connect. Adding to this discussion is absolutely the right place for your comments and questions.

Bravo that the hysterectomy is done and the diagnosed cancer was in early stages.

I had 2 treatments of brachytherapy with one day between the two treatments. I also had 25 sessions of pelvic radiation. While the brachytherapy was awkward (I had to lie on my back with my feet up in supports. Think gynecological exam with the your feet up in the air) the staff were very attentive to making me comfortable. The radiation oncologist was very careful with the device and used plenty of lubricant so the brachytherapy when administered was not uncomfortable for me. After both treatments I felt good and walked out of the treatment room on my own.

I was sent home with two dilators. The dilators were made of hard plastic and frankly not all that comfortable to use so I purchased softer and more comfortable dilators after looking at various options online. The radiation oncologist nurse spent considerable time with me before the brachytherapy to explain what I needed to do after treatment. This included using the dilators at a prescribed time (I’d have to check but I think about 7-10 days after brachytherapy) and use them several times weekly. I was sent home with all the directions I needed. I was also advised to use a moisturizer that would help minimize scarring. I use and continue to use Hyalo-Gyn that I order online but there are others that you can buy at Walmart or Target that are easier to obtain and less expensive.

Hyalo-Gyn:

— https://hyalogyn.com/products/hyalo-gyn-vaginal-hydrating-gel-30-day-supply

The radiation oncology nurse explained to me that use of the dilator and moisturizer are both important because scarring can occur from radiation treatment. If we do not keep the vagina « open » with the use of the dilator and moisturizer then follow-up exams will be more difficult because the doctor cannot see inside the vagina for exams. I am 3 years out from radiation therapy. I was my nurse practitioner yesterday who did a pelvic exam including a vaginal exam. She has no difficulty using a vaginal speculum to view inside me.

Is this the information you requested? Is there any other information I can help with?