Treatment/surgery flashbacks 4 years on, any women who have had pelvic radiation?

FormerMember
FormerMember
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Hi ladies, 

I’m hoping for some advice and support from anyone living with the long-term consequences of pelvic radiation (st 4 rectal cancer)

I have a lot of thoughts and flashbacks throughout the day, brought on by my colostomy bag, seeing my radiotherapy tattoos, not being able to pee easily anymore and most importantly around intimacy with my husband.

Obviously my vagina has been damaged by the pelvic radiation I had, and the bowel resection removed half of the muscles supporting my vagina also. I still can’t have intercourse and can only used a small/medium sized dilator.

When I use my dilators, I get flashbacks of radiotherapy, then my head goes to the fact that the radiation was pretty much pointless because it shrank my tumour only a few millimetres and I got metastases anyway, so all these long-term effects sting even more I guess, knowing that I could have just forgone that part of the treatment and not had to suffer these effects.

So. I get flashbacks, which makes me never want to use the dilators as it’s so upsetting. This in turn means I have yet to have intercourse with my husband, since even before treatment because the tumour made it painful. Any time we try and do anything sexual at all, I have flashbacks, and up until last month when it was particularly bad and I started crying my husband didn’t know this, I always tried to ‘power through’.

I went through radio-induced menopause and can’t have HRT and I’m on antidepressants, so my sex-drive is close to zero as it is, and I feel guilty that I can’t have an intimate, sexual relationship with my husband, but I just can’t see a way out of it. 

Sorry for the long ‘poor me’ rant, I’m just feeling so preoccupied with it all right now, it’s reached a boiling point, my husband IS patient and supportive, but after nearly 5 years without real intimacy he’s finding it really hard and it’s becoming a point of contention between us.

Thank you so much for any advice or support you can give, I can’t express how grateful I will be...

Jo x

  • FormerMember
    FormerMember

    Hi Jo 

    I felt really sad when I read your post. It must have taken some courage to write it. I am so sorry you have been going through so much suffering and for such a long time. 

    Reading your story reminded me of my own experience. I had pelvic radiotherapy in 2014 for womb cancer that had spread to lymph nodes in my pelvis. I had 30 days external radiotherapy and three days of internal. This was after surgery that tipped me into a surgical menopause and six months of chemotherapy. Like you, it ruined my sex life. I was exhausted, I was traumatised and had no hormones to drive any desire to be intimate. HRT was off the menu for me too. The surgery involved removing my cervix which changed how I experienced orgasm. And don’t even talk to me about dilators! So clinical and devoid of any sense of anything to do with love and intimacy. 

    Nine months after it was all over, the cancer was back. Like you, I wondered whether it had in anyway been worth it. To add insult to injury, I developed lymphoedema in my leg a year ago.   

    I realised that very little is said about the impact of cancer on our sex lives.  I sought help via this community and had a helpful reply from a sex therapist on this community (I think I have it and will forward it if I can find it). My husband and I found a way to have intercourse. I found the lubricant Sylk really helped (you can get it online).  Ultimately my husband wasn’t able to cope with the situation and left me and our daughters to start a new family with his ski instructor. Talk about a cliche. 

    So. What am I saying? I’m really not trying to start a pity party. It’s more that I think I understand some of what you’re going through. Looking back, I am not sure what I would change. I think I would seek more in depth help earlier. 

    There are differences between us. I don’t have the colostomy, I think I’d find that hard to cope with. I don’t have the flashbacks and it’s this that really worries me. I’m not a doctor or a psychologist but it raises red flags for me and I’d respectfully like to suggest you seek some professional help for what might turn out to be post traumatic stress disorder. 

    I realise that seeking help is going to mean talking about this and goodness knows I know how hard that is. Maybe writing down here about what you’ve been going through and how you’re feeling could be a practice run for talking openly to your GP or oncologist? 

    I do hope it helps to know that you’re not alone and that someone out there is listening. 

  • FormerMember
    FormerMember

    Hi Jo, thank you for your courageous post. Those of us who’ve had breast surgery can sympathise although I found that once we’d both come to terms with it things could return to normal. I know that for you that can’t be the case and my heart goes out to you. My late mother had radiotherapy for cervical cancer and although she never went into details I know she never recovered from the side effects. 

  • Wolf-J@ 

    Dear Jo, 

    What a brave thing to write about; you must be really keen to know there others in a similar place, 'oh it's not just me' to help you navigate what sounds heart breaking for you. Let me reassure you - it's not just you (or @daloni who very kindly, always tells it as it is)

    You're not alone in this and although I, like Daloni, have not had a colostomy bag, I did have the same external and internal radiotherapy Daloni describes to my pelvis after a hysterectomy. My cervix was removed in surgery and that has altered me (despite the male doctor telling me it wouldn't - he was wrong). So, I'm finding this hard to write, but what I want to convey is that it can get better - it did for me. I would like to encourage you to ask for help - I did.  

    I struggled with dilators and thought my sex life was over - I too had bladder issues although that is now resolved (my treatment was March 18). I use Yes, Yes, Yes lube recommended by the gynae nurse with a specialism in sexual issues following cancer - you can get it on prescription if you need to as well. 

    I asked for help - eventually. I felt there was something physically wrong so I had that checked - once I was reassured by that (I insisted the brachytherapy radiotherapist checked it herself followed by my oncologist and then the nurse had a good look too!) I had an honest chat with my psychologist and then an honest chat with hubby and we very slowly navigated getting back to a different way of being - it is different but it's ok. We've been through a lot as a couple and it's been really tough for him too - I am changed physically and he is not. We've both been through the trauma together though and there is still intimacy which I am glad of. 

    I found that dilators were actually worse for me than intercourse, I hated them and actually intercourse helped a lot with that. It took a while though and I definitely think my emotional state contributed to my physical reluctance. I cried a lot (not sexy) and it has been different and sill is different to my pre cancer days (sadly - if I'm brutally honest) I have to say my husband has been great - very understanding.

    I'm writing this publicly and not in a private message as actually it's not much spoken about and although I feel like I've just stripped naked for the community and am cringing, I hope this is helpful. 

    Please find a professional you trust who can help you navigate this - I'm glad I did. 

    Sending you lots of love - I was very touched by your post - thanks for sharing your vulnerability with us and trusting us. I might now need to go ino hiding again!

  • and

    I think you are both very courageous to write about this issue. If this forum is for anything it is to help people share "out loud" rather than in secret, as if there are things to be ashamed of or too difficult to talk about. "The more personal, the more universal" is something I learned in my counsellor training, courtesy of Carl Rogers. The more people dare to share their vulnerabilities, the more others can. Which is of course what these threads are all about. Good luck to both of you.

    xx

  • FormerMember
    FormerMember in reply to ownedbystaffies

      
    Hi Clare 

    I am so glad you found the help you needed and that you were able to talk to your husband and find a way forward. I would really like to give you a big hug. Maybe Jo could join in the hug too 

    xx

  • FormerMember
    FormerMember in reply to FormerMember

    PS to at mention someone and highlight their name, sending an email to say they’ve been mentioned do this. 
    type the at symbol and start typing the member name. This will prompt the system to load user names as a list. Keep typing until the one you want is at the top. Click on the top name. Then hit return. 

    I hope this helps with tagging 

    xx