What Kind of Radiation Did You Get for Your Gynecological Cancer?

Posted by Helen, Volunteer Mentor @naturegirl5, Sep 29, 2022

I was diagnosed with endometrioid adenocarcinoma (Stage 1a, FIGO Grade 1) in 2019. I was treated for a recurrence in late 2021 with radiation therapy. I had 25 external beam treatments and 2 brachytherapy treatments. I'll share more details about the lengthy preparation and the actual treatments in a separate post below.

I know of members here who have had or are going to have radiation treatments. Would you like to share your radiation treatments and experiences with one another? This is a great way to support one another.

Interested in more discussions like this? Go to the Gynecologic Cancers Support Group.

Profile picture for terradean @terradean

I was told that the 2 brachytherapy I am suppose to have after chemo would close up my vagina since not sexual active at present. Just not sure how I feel about this, anyone have any info on this. Any info regarding.

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@terradean Did you doctor tell you that "your vagina would close up"? I was told that my vagina would narrow (stenosis) after radiation therapy.

I was told by my doctor to use vaginal moisturizers and a dilator. Radiation does cause a narrowing of the vagina but it does not "close it up". There is some scarring that can occur where the brachytherapy was applied in the vagina. I have followed my doctor's instructions and over time I have used the vaginal moisturizer 2-3 times weekly and the dilator 1-2 times weekly. I can tell the difference over time as my vagina is less sore and I can use the largest dilator.

The reason to do this is that you will need to have pelvic examinations when you come for your followup appointments. You will want those appointments to be as comfortable as possible and to allow your doctor to be able to look at all of your vagina.

Think of this way. You are practicing good vagina health in the same way that you use moisturizers on a regular basis for your skin. I use a daily and nightly moisturizer for my face and use lotion after a shower. I figure now I am doing the same for my vagina.

Does this explanation help?

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Profile picture for terradean @terradean

Oh, the guy I saw was who brought the subject up. Asked are you sexually active, when I said no he just plain stated there wasn't going to a vagina left , it would be gone. To be honest started to really bug me. First was told 8 external radiation and 3 brachytherapy and then be told 25 external and 2 brachytherapy. And, vagina not used is gone. Just bothered me greatly.
At least seems there is possibly ways around it. I will probably ask more questions re: when they finish first course of chemo and go on to radiation treatment. Will be requesting more info. I may not be or may never want to be sexually active again but do not think your rights should be gone because of their treatment they have come up with.

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My radiation oncologist's team also told me that they would give me vaginal dilators after I have finished vaginal brachytherapy. I'm not sure whether this is out of concern for my future love life, or just because they want to be able to do pelvic exams to monitor for new problems in the future. But for both of those reasons, you're right to ask them about it.

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Profile picture for cheriels @cheriels

Hi
I was told before my Brachytherapy I would be given a set of tools once I was done with Radiation to use, which would be 5 different sixes and start with the smallest to put in viginia while I was showering the use a different size the next time keep going, but my Radiation Doc said I would not need to use them. That’s all she said and I just finished Radiation and was not sent home with those tools. Wished I could help you out. I never asked her about my vaginia closing up! I go back in 4 months for first check up.

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Oh, the guy I saw was who brought the subject up. Asked are you sexually active, when I said no he just plain stated there wasn't going to a vagina left , it would be gone. To be honest started to really bug me. First was told 8 external radiation and 3 brachytherapy and then be told 25 external and 2 brachytherapy. And, vagina not used is gone. Just bothered me greatly.
At least seems there is possibly ways around it. I will probably ask more questions re: when they finish first course of chemo and go on to radiation treatment. Will be requesting more info. I may not be or may never want to be sexually active again but do not think your rights should be gone because of their treatment they have come up with.

REPLY

Hi
I was told before my Brachytherapy I would be given a set of tools once I was done with Radiation to use, which would be 5 different sixes and start with the smallest to put in viginia while I was showering the use a different size the next time keep going, but my Radiation Doc said I would not need to use them. That’s all she said and I just finished Radiation and was not sent home with those tools. Wished I could help you out. I never asked her about my vaginia closing up! I go back in 4 months for first check up.

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Profile picture for terradean @terradean

I was told that the 2 brachytherapy I am suppose to have after chemo would close up my vagina since not sexual active at present. Just not sure how I feel about this, anyone have any info on this. Any info regarding.

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A little research gave me this as it was also mentioned by my doctor-Vaginal stenosis is a recognised toxicity of brachytherapy for the treatment of gynaecological cancer. It can result in long-term sexual dysfunction and painful vaginal examinations; however, it is generally accepted that it may be prevented by regular sexual intercourse or the use of vaginal dilators.

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Profile picture for cheriels @cheriels

Hi
I had no problems! Legs were little sore from being put up in the stir-ups and spread, but other than that , no other problems. There was no mention of sedation to me , but I am fine without it. Hope this helps you.

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I was told that the 2 brachytherapy I am suppose to have after chemo would close up my vagina since not sexual active at present. Just not sure how I feel about this, anyone have any info on this. Any info regarding.

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I was diagnosed with vulvar cancer in 2018. Got into lymph nodes as well. So after healing from surgery I had 7 weeks of radiation 5 days a week simultaneously with chemo. I would drink my 16 oz bottles of water on the way to radiation. At first this was a little difficult holding that water till after treatment but the facility always took u right on time and I would jump off the table & race to the bathroom to relieve myself when session was over. As treatment went on my bladder got used to it. At the same time as the effects of radiation took its toll. You can’t use any creams before the session so I had everything in a cosmetic bag with me so I could use once I got in that rest room. I had RX creams for burns essentially. I also used at home Domboro powder. You mix it with warm water in a squeeze bottle and pour that over the skin as you sit on the potty. That was such a relief!!! I ordered through my medical pharmacy supply store by the cases.
For diarrhea I used alot of tucks soothing pads. I carried these with me in my cosmetic bag wherever I went. I would tuck one in between and let it rest there as well. I got through this better than I ever thought I would with the grace of God. It sounds scary but the Drs and staff were amazing !
I joined this group because I don’t know anyone who has been diagnosed with this cancer. If I can help anyone I can share my experience.

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Profile picture for terradean @terradean

Their revision on 9/12/22 states FIGO1, however 100% Myometrial Invasion, Uterine Serosa involvement: present, Pertinoneal / Ascitic fluid: Present No lymph, no ovary, no tube involvement
PATHOLOGIC STAGE: pt3A
Endometrial adenocarcinoma, G1-2, at serosa full invasion
I think at this point will just ask alot more questions, but seems I get the max, because malignant cells in peritoneal area wash from lesions on serosa. And, could be going everywhere in my body to spread, so my body will be punished fully now with max treatment right away

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Monday was first day of chemo, was fine and next day ok, however, Wednesday woke up pain I think in bones, knees, legs feet, arms. In afternoon got tummy cramps till got everything out of me. Tylenol not doing much. Dr. office called this afternoon told me to try NASID's occasionally to help.
Hasn't affected my taste buds nor my appetite, but going to do softer foods after tummy issue.
Be more careful hope pain goes away soon. Not sure going to be worth much during chemo.

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Profile picture for rainyp @rainyp

Interesting, Im scheduled for 2 vaginal brachytherapy and was told mine were to be done under sedation. How did you feel afterwards?

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Hi
I had no problems! Legs were little sore from being put up in the stir-ups and spread, but other than that , no other problems. There was no mention of sedation to me , but I am fine without it. Hope this helps you.

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Profile picture for cheriels @cheriels

Vaginal Brachytherapy treatment
Hi
Had my first treatment of 3, started the first one Monday and go today for my 2nd one and have the last one Friday then all done , just go back for periodically for treatment. I am getting 15 minutes of Radiation and time they get you set up it takes all together close to a hour. There is a little discomfort when finding which size of tool they need . They try 3 different sizes so when they find the correct one they take that out and insert the same size one that gives you the radiation. Then they hook up wires to the tool they use then start the radiation on a timer, it shuts off when done. Then Doc comes in removes the tool and wires you are all done. You do have to have legs in stirrups and I had to have CT Scan where they put me though it 3 times then they hook the wires up to the tool and then radiation begins.

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Interesting, Im scheduled for 2 vaginal brachytherapy and was told mine were to be done under sedation. How did you feel afterwards?

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