@dlgbb Thanks for coming back and letting me know about your follow-up exam. There is a Discussion that I started in our Gynecological Support Group on radiation therapy that you might like to read through. You'll get various perspectives including side effects, if any. Personally, when I had radiation therapy (external and internal) after a recurrence in the vaginal cuff I had very few side effects. I experienced a little fatigue, occasional diarrhea, and that's really all. I continued weightlifting and balance training and went for daily walks. I went for 5 days/week for 5 weeks for external and then 2 treatments of brachytherapy (internal). I met with the radiation oncology nurse and the radiation oncologist weekly to monitor my progress and to discuss any problems I was having.

Discussion: What kind of radiation therapy did you get for your gynecological cancer?

-- https://connect.mayoclinic.org/discussion/types-of-radiation-treatments-for-gynecological-cancers/