Hi, hope everyone is doing well since surgery and treatment, !!! If you read my bio then you might understand that things didn't go well after surgery although all my cancer was taken away there were problems due to loosing blood during surgery and other niggles and know I am left with something that I really didn't think about even though I should have known as I am a retired RMN and that is horrendous Menopausal symptoms such as Terrible Sweating, Hot Flushes, Night Sweats, Vaginal Dryness, Headaches, Increased Joint/Muscle Pains and Insomnia. because everyone knows we can't get estrogen apparently there is nothing that can be done as I am on other medications for Neuropathy Anxiety and Depression not forgetting my diabetes medication as I take, High doses of Nortriptyline, Duloxetine, Lisinopril, Shortec Oxycodone, Longtec Oxycodone, Baclofen, Dapaglifozin, Trisiba, Humalog and Mounjaro.
The nurse specialist prescriber was going to give me Venlafaxine but it had a contra indication with the Mounjaro which was something to do with blood pressure, she had said she would get back to me but I am still waiting 
. I though maybe add in an other depressant such as SSRIs like paroxetine, citalopram, and escitalopram, and SNRIs like venlafaxine, unfortunately nothing yet might have to visit the GP if am lucky with an appointment 
.
Hence why I have came back here if anyone has ideas that could help as I am at my wits end with these symptoms in fact any answers or advice is definitely better than sitting with a fan up your bum 24/7.
Now I know I should be happy in fact ecstatic about all the cancer being taken away and not needing treatment after the operation but my mind has never stopped with the questions such as,
1)How will I know if the cancer comes back because I have NO womb for bleeding to let me no if anything is wrong, then what happens if it (Cancer) comes back!!!!
2)Why do I think constantly about none of my family getting past in there 60's no one has got to 70 year old
3) Consistently feeling that I have to tell everyone am ok because I have had the ok and I am cancer free.
Hi Wilma
I am sorry to hear that you are dealing with menopausal symptoms after your endometrial cancer. You are right in thinking that HRT is not normally prescribed after endometrial cancer. This is because for a hormone positive cancer any hormonal treatment could possibly encourage the cancer to reoccur. However there can sometimes be exceptions and it is very much a individual risk vs benefit decision.
As you are already on a fair amount of medication I wonder if any of it is adding to your symptoms and perhaps a general review with your GP would be an idea. There may be some non hormonal treatments that could help. You could also contact the Support Line and talk to one of the nurses.
I am not sure whether you are on regular oncology check up appointments however this blog tells you the symptoms to look out for that would be concerning. If you do get any of these symptoms then you would need to contact your doctor to get checked out and for any potential recurrence to be ruled out. I was told that most recurrences would cause symptoms and any of the symptoms in the blog would mean an urgent CT would be needed.
2) I think it is natural to look at family history and to think about it and have worries. Something like a cancer diagnosis can knock us sidewards. I suppose the only thing we can all do is to know the signs of recurrence and act if we have them, go for regular check ups, take advantage of screening and to try to be as healthy as we can.
3) I think for most of us after having cancer then it is about finding a new normal. I tend to tell people that I am recovering from cancer treatment. Normally it is 5 years after treatment that we finally get discharged. Its a long time. There is also the emotional impact and the worries about it coming back. Some of us have longer term side effects from the treatments we have undergone so it can be hard to move on and put things behind us completely.
You might find this course helpful. I did it myself. Its free and all online.
Online HOPE programme for your patients | Macmillan Cancer Support
Jane
