Howdy! Welcome to my February roundup. You can by the date that I almost missed it this month! Working in the sex toy industry means I get clobbered with work every February by perverted Valentines who need vibrating doo-dads. Bless their hearts. __________YUM__________ I am […]
If you are new here, I recently survived cancer. In doing so I had to accept going into abrupt surgical menopause. I have had no hormone replacement options available as they stand a high chance of causing more cancer in my body.
But you know what? Despite the long lists of symptoms the internet will give you, it’s not an illness. I’m actually doing well! It has been a couple months and this is what I have learned…
The Symptoms Are Temporary
In my pre-surgical meetings with my bad ass surgeon, I would ask lots of questions. How about we keep my ovaries? How about hormone replacement? How about those hormonal creams I have read about?
Immediately after surgery, while still in recovery she came to check on me. I muttered out of my throat, still sore from the respirator tube, “How about black cohosh?”
Her response was always the same. Nope. I can’t have anything that is hormonal, in prescription or natural form.
Then she said the magical words, “Menopause symptoms are temporary. They don’t last forever. You are going to be ok.” Ha! No person or article had ever stated this fact. I instantly relaxed about the whole affair.
It’s Different For Everyone
Studies show genetics may be on my side. Scandinavian women have fewer symptoms and weather their symptoms for just four years.
While African American women in the study reported being plagued by symptoms for ten years on average, women of Asian origin who were involved in the study reported problems that lasted just under five years. Caucasian women lie somewhere in between, reporting they suffered from symptoms on average about 6.5 years. –JAMA Internal Medicine
So genetics gave me cancer but also delivers an easier time with menopause. These are the cards I have been dealt. Your hand will be different from mine.
I’m Topless More Often
When it comes to hot flashes I was ready for the worst. I have another friend going through chemo and she has a different story. She had to keep a towel on her pillow to protect her pillow from becoming wet each night. Some people find it causes tons of sleep interruptions. It’s different for each person, but there are things you can do to care for yourself.
I had my first hot flash a few hours out of surgery. About two times a night I get a minor “sweat attack.” I throw the blanket off myself. I fall back asleep for about 5 minutes. Then I wake back up and pull the blankets back on.
During the day I’ll have about zero to four heat surges. They happen more in the morning than any other time of the day. At the onset, they can feel like an anxiety attack. I have had more than a few anxiety attacks in my lifetime and have taught myself how to reason my way out of them. This skill allows me to recognize the onset of a heat surge and remind myself, it’s only a few minutes and has nothing to do with anxiety. The quicker I act, the faster it passes.
Beyond self-talk, I have a couple other tools. My friend sent me some Saje citrus based spray that can cool me down very quickly. Honestly, if I am at home I just whip my shirt off for a few minutes and I am good.
All this inner heat (and the fact that surgery cured my anemia) has some advantages. I am no longer cold all the time. I give my dog a long walk in the winter. I can shovel snow and face the winter weather with more ease. My Scandinavian Nordic edge is back!
My Skin is Beautiful
I read a lot about how one’s skin changes after menopause. They say it goes dry, losses its resiliency, and you break out more often. I am early in it, so maybe I should not talk… but my skin feels wonderful. I am no longer having monthly, hormone-induced breakouts. My skin is more clear and less blemished.
One of the coping techniques I developed (with the help of my sister) was to dig into self-care rituals, like baths, scents, food, and yoga. I have been taking the time to better care for myself and I am sure that is having an impact as well. I am more selfish, and for a giver– it takes some effort to be selfish.
Sex is Awesome
Before I had even healed from surgery I knew my sex drive was in fully intact. That inner thumping that makes me want to climb my husband like a tree was all there.
I had some advantages here tho too. I have a strong relationship with a loyal partner. He held me through treatment and never doubted my strength. I believe something like cancer or menopause gets tough when a person is in a poor relationship. You’d be better off alone than with some fucker who does not know how to love you. (Been there, ugh.)
It also helps that I learned to love my body, imperfect as it may be. I have done the work to find and honor my beauty. I seek pleasure and joy in this little vessel. I try to treat my body well and address it with compassion. This allowed me to have really kind inner conversations with myself on how to get through cancer and surgical menopause.
I have at times been my own biggest hater, but my point is– I have found peace inside myself when I don’t hate on me. This makes sex and sharing myself fun.
So yeah, orgasms are no problem. We need lube now but we always used lube. It’s just a healthy and enjoyable thing to do with any kind of sex.
I can’t tell you how awesome it is to no longer have my cycle! My body is easier to care for. I don’t have to spend money on tampons or pantyliners anymore. Life is not interrupted by a drop in energy, a drop in my immune system, or pain.
Contemplating how menopause would change my life was scary. I feel relieved to be in it now. Menopause is no longer a mystery. There are changes. They are different for everyone. I have learned the better I care for myself, the easier the experience can be.
This is a timeline of my healing process. I’m creating it to remind myself how far I have come and to help other people who experience a robotic, radical hysterectomy to know what they might expect. Doctor’s say it should be six weeks until I am fully healed… let’s see how this goes…
Nov 17, 2017 / Day 1: Surgery day.
Stayed overnight in the hospital. Woke up in extreme pain, not in my abdomen, but in my right shoulder. The gas they use during surgery to inflate the abdomen and allow tools to move through the body rose to my shoulder and damaged my rotator cuff that I had previously had surgically repaired. Did not expect that.
Six hours out of surgery I experienced my first heat surge. (Hot flash.) So weird! My little body was asking WTF? Where’s my parts!?!
Day 2: Laying in my hospital bed I asked my husband if he knew what happened to my uterus after surgery. He said he believed they incinerate it. I happily declared my uterus to be STARDUST! As it should be.
Hard day of walking and proving to the hospital staff I was ready to go home. Holding a pillow or small folded blanket up to the tummy helps in moving the body and supporting the abdomen. Timed the pain meds well so they were in full effect when we got in the car. Forty minute drive home and walking up the stairs to our apartment was still very painful. Straight to bed with pain meds.
Husband created a log of my medications to make sure we know what I took and when I took it. He also starts to stagger the meds so I never fall too deep into pain. I have Advil and Tylenol in 5-hour intervals and Oxycotin in 6-hour intervals.
Chicken soup is all I can tolerate.
Day 3: I’m slow as a sloth right now. My stomach muscles are wracked by the damage done in surgery. Husband has to pick me up out of bed. I can’t do much but lay here and heal. He props me up on my feet every few hours and I walk a bit. He is my anchor. I use my arms to pull myself up or let myself slowly down on to a bed or chair. He had to give me a shower. All I could do was hold the wall for balance. My abdomen is so tender. Spent the whole day sleeping in bed or propped up on the couch. I can feel my body taking all available energy and diverting it to the healing process.
Every time I use the restroom I do a little tour of the house, just to keep my blood flowing and gain some mobility.
Today I expanded from chicken soup and managed to eat a banana too.
Day 4: I have five wounds. Feels like I lost a knife fight.
The exciting news over here is that my husband washed my hair. Little things make me happy right now. I’m off the hard pain meds during the day. Helps clear my mind. I started wearing post-op compression panties and they help a lot! I can walk with more ease. I make my own breakfast. I am counting every little win. Doctor’s office called to see if I have pooped. First time anyone has called me to ask that question. The answer is… nope.
Day 5: Huge win! I was able to sleep on my side last night, thanks to the compression panties. They are ugly but effective. It remains really hard to find a comfortable position to sit or sleep in. Once I do find a comfortable position, something starts to hurt. There is a constant need for my husband to stuff blankets under my knees, or help me reposition my back. At night I wake up aching in places that shouldn’t hurt but do because I ask every other part of my body to compromise for my abdomen.
Day 6: I am sooo so so exhausted all the time. I can walk with ease now. At least for a few minutes. Still hard to get to my feet from a sitting or lying position but once I’m up I do ok.
Using Advil and Tylenol as needed. I still write them down as I take them tho, just to make sure I am not over medicating and it helps me understand my pain levels.
I’m covered in bruises from needles and adhesive that is just too hard to scrub off. They taped a lot of stuff on me.
Husband had to take the dog to the vet. Looks like my dog has an ulcer. My husband is smoking cigarettes. Something he hasn’t done in more than 3 years. My cancer is proving to be hard on everyone around me.
Day 7: Happy Thanksgiving! I am able to stand up on my own!
My dog is doing ok. The medicines seem to be helping him. He’s resting a lot today. Husband is sleeping the day away. We are all healing. (Husband has had a full-time job just watching over me and helping me with basic needs.)
Thank goodness for my mum in law… she is here taking care of us. She is cooking a beautiful meal and managed to save the holiday for us!
On a side note, I had major pain in my shoulder last night. It kept me up. Something is also wrong with my vaginal flora. I have no idea what it could be because I have no cervix and strict instructions to leave my vagina alone. So I’ll just remain baffled and hope it can wait until my follow up appointment next week.
I managed to write a blog post! I can’t eat too much but I tasted everything from the Thanksgiving spread! That and wearing polar bear PJs = I feel pretty good tonight.
Day 8: One week ago at this time I was in surgery. Today I am wearing real people clothes! (No PJs!) I had a miserable revelation today tho, my shoulder started hurting again last night. I got up to pee and suddenly realized what is happening. When I lay on my back my shoulder is dislocating. It’s not a total dislocation. It just opens the joint enough to allow the ball of my shoulder to teeter on the edge and cause a ton of pain. Gave my husband a 2am lesson on how to relocate my shoulder. I really don’t want to experience shoulder surgery again. Hoping I can heal it and fix it with physical therapy.
Oh and sneezing with five abdominal wounds… I’m gonna venture to say it feels like being stabbed.
Strapped on my Fitbit today to get an understanding of how well I am moving.
Total steps: 878
Day 9: Hard to sleep last night as I woke up all night to make sure my shoulder was in the right position. But I managed to sleep one night without dislocating my shoulder. It’s still super fragile. It can dislocate from washing my hair, using my arms to lift myself up, or simply laying on my back. Muscles in that arm are so sore and require I keep it pinned to my side. The shoulder restraint strap I bought online arrived today. Hopefully, it will keep my should in place during my sleep.
Most of my abdomen feels pretty good, but I still have this debilitating pain on my lower right side. I believe it’s just in the muscles but it’s stabbing and wince-inducing as I try to move through my day.
I am more comfortable standing than I am sitting or laying down today. But I can only stand for so long before I need to sit down.
Multiple heat surges today. It’s just minor annoyance tho. Cutting every ounce of sugar to beat it. (Even tho I am consuming very little sugar.) Starting communicating with a coach at Noom Coach. She asked me to start tracking my food so we can analyze it together. (I plan to lose a LOT of weight so I can reduce the estrogen-producing fat in my body. This will help me stay cancer free down the road.) As soon as I am able I’ll start walking as much as possible. Yoga will need to wait until my shoulder is fixed.
Went outside today to walk a little. Also, softly loaded myself into the car so I could run a quick errand with my husband.
I am still just miserable trying to find a comfortable way to sit or lay down. With all the bills piling up we can’t afford to buy a recliner chair, so I bought this lawn chair. I am hoping it will help relieve some of the back and shoulder pain. I plan to pad the fuck out of it with blankets and sleep in it too. This will help me to find comfort and not dislocate my shoulder in my sleep.
Total steps: 1638
Day 10: Still moving slowly. Feeling pain on my right side. I think that is where the positioned the surgical camera so there is more trauma in that area. Experienced a mild dislocation of my shoulder last night. But I am sitting in a soft office chair this morning with little pain. Started writing my Christmas cards and blogging.
My only comfortable position today is to sit on the couch with my back hyper arched. It takes the pressure off the sides of my body for periods of time.
Still can’t pick anything up off the floor. I have been trying to pick things up off the floor with my toes, like a monkey. I am not very good at it.
Total steps: 1735
Day 11: Still very uncomfortable in almost any position… standing, sitting, or laying. I am also antsy to be done with the whole process. I want to be my “regular” self. I want to bop around the house and get shit done. But nope. I need to pace myself. I still feel a searing pain on my right side when I move wrong. Each day the pain moves a little in one direction and lessens a little. But it remains. Reminding me to slow down and be good.
At least my mind is full of good things. My mum in law has helped me start with the Christmas decorations. I have written many of my holiday cards. I am writing. I started crocheting again today. I have couple projects in the works. So I work as long as I am comfortable. Then I get up and prepare to be uncomfortable in another position and place.
Tomorrow is the big day when we get the lymph node pathology. That will tell us if I need more treatments (chemo or radiation) or if I am free to get on with my life.
Total steps: 2018
Day 12: Last night was a rough night for pain. Tears streamed down my face as I could not find a way to stand, sit, or lay without searing pain on my right side. In the end, I realize I have been pushing it. Doing too much. Trying to get strong when I should just sit and relax. I had to revisit my Notes to Myself on How Not to Fuck Up My Body’s Healing Process. Thank goodness past me had the presence of mind to leave sane notes for now me.
I’m a workaholic. My entire life I have known, whatever problem I may have, if I get up and go to work, I can get through it. Work is my survival. My paycheck supports my family. My husband is a disabled combat veteran. We really can’t afford this. But I know I know... I need to push these thoughts aside and let myself heal. Anyway, my goal for the next couple days is to walk a little less and be a lump on the couch a little more.
I have been sleeping at night in a lawn chair. It’s the only thing I can sleep in and not cause pain to some part of my body. Whatever works, right? My bed was starting to feel like pain trap. The only sad thing is now my animals take up my side of the bed and they will now have the forever expectation that they own that area. It’s ok tho, I’ll win that round when the time comes!
This afternoon my husband and I went for my follow up visit with my surgeon. She manages my medical trauma issues well. Like how I try to avoid exams or shake uncontrollably during the exam. My logical brain says, “It’s cool. Ths is no big deal. Let’s do this.” My lizard brain says, “Fight! Run! Defend!” The two of us crack jokes and move through the process.
She informed me the right side pain is normal. There are stitches in my muscles there. I need to be patient and let them heal. Otherwise, my insitions and vagina look peachy. Healing up just fine.
Best news of all tho? No signs of cancer in my lymph nodes!!!! This means no further treatment. When I heal up and out of this surgery, and the pain dissipates… life will go back to normal. Wiser, more empathetic, and still whole. (That’s my goal.)
We shared the news with my whole family. The rest of the night felt lighter. Until this point, we felt confident we could beat this cancer but had no clue how long or painful it might be. Feels good to know everything on my Things to Look Forward To list will be more attainable now.
Total steps: 1360
Day 13: Cut my activity back to a target of 1000 steps a day. So weird to now use my Fitbit to limit my activity as opposed to motivating my activity. Had to run to a medical lab to check for UTI (just precautionary, use they messed with my urinary tract during surgery) and by the time I was done, that was all I could do today. I was still in pain by the end of the day. My husband has asked that I keep this limitation in place until Monday. Bluck. But if it means less pain, I’ll do it.
Oh and when I was at the doctor office the other day she asked me to make an appointment with this genetic counselor. She would not tell me why, she just said, “Do it.” I had to look up what a genetic counselor does… it turns out that’s the person who will explain more about my awesome genetic inheritance and will explain to me how we will test, manage, and seek to prevent reoccurrence. I am looking forward to that appointment.
Total steps: 1155
Day 14: Went for a short ride in the car but it’s still too painful. Every bump and curve makes my abdomen ache. But for the first time since surgeryI have slept through the entire night without having to get up to pee. The pressure on my abdomen is subsiding if only just a little. Thank goodness! Slowing down and doing less during the day is helping me heal.
Total steps: 460
Day 15: I’m so angry. My insurance company denied the claim for my stay in the hospital. As if it was optional or my choice? I swear its some kind of extortion scheme– taking a person fresh out of surgery, while on narcotics, with two IVs, and catheter– the doctor tells us they are keeping me overnight. A couple weeks later I get a letter in the mail saying my stay is not eligible for coverage. What was I to do? Craw out of the haze and call the insurance company? GO against doctors orders pull the catheter out of my urethra and IVs out of my arms and insist I can not afford to stay? There is a place in hell for those who get rich off the illness and misfortune of others.
Total steps: 1459
Day 16: Slept through the night again. Less stabbing pain. I am still in full sloth mode in my efforts to heal the stitches inside my body but I’m really looking forward to when I can walk a ways and workout again. The doctor had removed the tape over my incisions earlier this week. They then put bandages over two of them, just to protect them. My husband finally removed all bandages and used these pads the doctor gave us to remove all the adhesive. Now I am tender and itchy. I can’t really look at the ouches because they sort of freak me out! At glance, they look like they are going to heal and not be very obvious. Good thing for me I like scars. I like them on my own body and on others. They are a badge of survival. A scar usually has a good story. A person with scars has depth worth exploring.
Total steps: 1267
Day 17: My mum in law leaves tomorrow. I don’t know how we would have survived without her. She cared for us, our house, and our animals. She endlessly cooked, cleaned, and kept up with daily tasks, taking so much weight off of us. She made us laugh, watched lots of TV with me, and even put up our Christmas decorations. I’ll miss her.
I can’t help but feel heartache for anyone who does not have people in their lives to help care for them in times like this. If you are a fellow survivor and you are reading this and you are preparing for surgery… I beg you to accept the help people offer. If you don’t have a rock like my mum in law, create a schedule for will friends so you can help them help you. Let them bring you dinners and help you with basic needs. Get humble, gather your friends and family and invite them in.
On a separate note… I still can’t bend over and reach the floor. I can reach things in lower cabinets. I can’t pick things up off the floor when I drop them. I can’t put my own socks on. Small problems when you consider where I was two weeks ago, but still annoying.
This experience has however taught me my husband is as good at put clothes on me as he has been at stripping them off! And I’m a few weeks into surgical menopause and I am tickled to say my libido is still whole. Flirting, desire, anticipation… it’s all here. This makes me very happy!
Total steps: 1765
Day 18: If I overdo it during the day I am an aching mess at night. Yet my think skull refuses to remember this.
Total steps: 2210
Day 21: I’m getting out of bed, sitting and standing with more ease. I am still having to do everything at sloth speed tho. Sucks. I get to go back to work next week! Working from home for the first week, then into the office the week after. I convinced the doctor to sign off on letting me go back but only if I work from home the first week.
Day 26: I started working again yesterday. I’m going slow, working from home. I was able to eek out about 6 hours yesterday. It’s nice to have my brain busy again. I’m still experiencing pain on my right side. I can now pick things up off the floor, but I have to go really slow. I can’t carry laundry or pick up my cat. These abdomen stitches are still too fragile. That and I run out of energy pretty quickly. Progress comes in the tiniest little steps.
It used to be that when someone told me they were fighting or surviving cancer I could honestly and compassionately say, “I am sorry that happened to you.” But I had little understanding of the reality of it. When you meet someone surviving cancer please know it means they are attending endless medical appointments, living with pain, engulfed in bullshit bureaucracy, are taking a financial hit that is attuned to having a hurricane wipe out your home, and sorting through lots of thoughts and emotion. It’s hard and the stress is coming at us from every direction.
Day 31: My body has come a long way! I am still moving a little slow, but I can sit, stand up and climb stairs with no pain. I can pee without feeling like someone is stabbing me in the side! I can touch my toes, shave my legs, and put lotion on! I even walked my dog tonight, for the first time in more than a month!
Turns out the problem I have been having with my shoulder is because I have had to use my arms to pick myself up out of a chair or the bed. In a couple weeks I will begin to rehab it. I can’t afford to pay for a physical therapist. I’m doing it myself, at home.
In four months, while fighting cancer, I have racked up $57,386 in medical bills. This is WITH health insurance. So I get my body knocked out from under me and my families financial wellness knocked out as well. I just can’t wrap my brain around this.
Day 40: My first week back at work was kinda tough. But now I am in my second week. I’m feeling pretty good! I still can’t vacuum without pain. I can’t press my abdomen up against the kitchen sink and wash dishes. My scars are rough and a deep shade of red. I am nose deep in bills but flooded with love. I can’t believe a couple weeks ago I could not even dress myself. I am soaking up every win. Surgery also cured my anemia. I have energy. Just a few minutes ago I was outside in the freezing cold, staring up at the stars, and feeling thankful. This little life of mine has been very difficult and very magical.
In two days I’m cleared to start living in a full way again. I can start exercising, take baths, and have sex! I have this list of things to look forward to that I now have to conquer!
Surgery happens this Friday. Now there is a low hum of nervousness that constantly resonates out of my chest. It started yesterday and is so real that I can damn near touch it and see it. I wish I could make it stop. The thing that I have been asking for and not wanting is almost here. It’s inevitable.
It does not help that I can’t drink tea until after surgery. I have no problem with the other restrictions in part because my foods and drinks are already so fucking healthy. I don’t do any medications, no alcohol, coffee, soda… I do however like my ritual of tea in the morning. Grrrr…. I did find some almond milk eggnog, so I have been heating that up in the morning. Seems to me tea would be a million times better for me, but I give the doctors what the doctors want.
It’s been an interesting experiment in boundaries to put this whole thing out on the internet and write about my feelings and experiences. It has allowed those who are close to me to understand what I am feeling. (I don’t verbalize this stuff much.) It has allowed those who don’t know but care about me to express their love and cheer me on. It has brought a number of strong survivors into my life and threads. And it has brought a few thoughtless fools. I don’t think they mean any harm, but the things people say sometimes is so inappropriate.
Generally, the only things that irritate me are people giving me advice on what I should have done to prevent cancer. IT’S FUCKING GENETIC. It’s not about my behavior and it’s not my fault. So those people can go fuck themselves.
And then people make flip comments about my reproductive organs being removed. Things like how my uterus “It was a baby maker and now it’s a playpen.” WTF? Gross.
Or how I don’t really need these organs anyway. Umm… A women needs her ovaries and cervix at the very minimum. Ovaries produce feel-good hormones. A cervix is also a sexual nerve center that plays an important part in pleasure for many people. We can live without them, but we’d have a better life with them. Let’s remove any part of you and tell you “it’s ok… you can live without it.”
Let’s not forget that fact that even if I do not have children that does not mean I do not want children. I have always looked at myself as a future mother. When I was young I purposely sought to not have children because I was in poverty and did not have a partner I trusted enough to reproduce with. I could just barely care for myself and refused to have a child I could not care for.
Of course, poor people are allowed to have children– they just can’t always give them the best lives. Gandhi (he was a disgusting creature in the way he treated women and children, but he said and did some good things in his life) said if poverty was an excuse to not have children, there would be no children in India. I say never disparage a poor person who has children and is doing their damn’dest to give them a good life. I just chose to wait.
Anyway, once I was married I experienced more miscarriages than I care to share. This little body just would not carry a baby. I could have gone the medical route and tried to force my body to carry a child. I made the choice to respect my body and allow it to be just as it is.
It also helps that I know I can foster and/or adopt children. I grew up in foster homes. I know the reality of that world. There are good children out there who need homes. Some of these kids may be mine? I don’t know yet. At some point, my husband and I will buy a house and then we can see how we feel about that.
Reproduction may be limited to some of us but children are always available. I wish more people would get their fucking instincts and egos out of the way and consider fostering kids. Giving foster children and teens homes, even if they can’t keep them forever.
Anyway, opening myself up to the world has also opened up doors for strangers to say things that don’t sit well. Here’s a good guide to what to say to someone who is diagnosed with cancer.
And please enjoy this video of B movie monsters destroying shit. I understand them.
Uterine cancer is also called endometrial or womb cancer. People don’t talk about it enough… perhaps because it mostly happens to older women? Perhaps because women are not sharing their grief with this diagnosis? But uterine cancer can also happen to younger, body positive, fearless women like me. […]
Still managing to keep my head in a good place. I have these passing panicked thoughts about surgery and incisions and losing part of my body to cancer. I am getting pretty good at setting them aside. The mind is a funny thing, you can play honest […]