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Anal Cancer Newbie

Heidsta — Fri, 14 Feb 2020 23:39:35 GMT

Hi folks,

At 46yo I was diagnosed with T4 anal cancer back in September 2019, finished the 6wks of chemo radiotherapy in December, & am now dealing with the physical fallout so thought it might be a good time to connect with some of you folks who understand. I've been incredibly blessed with an amazing husband & two gorgeous, caring young men (15 & 12yo) for our sons, so have beautiful support at home, but no-one quite understands like those who've already walked this path. Am not quite sure at this point that I have any expectations from joining this community, but I thought it may just be helpful to connect with others, & if I'm able to help anyone along the way too, then this whole journey will be all the more worthwhile. Thanks for being here! Heids 🙂

Re: Anal Cancer Newbie

Katekat — Mon, 17 Feb 2020 04:26:45 GMT

Hi there @Heidsta and welcome to our community!

I am glad you've got a good support system at home, as that is very important. But you're right, people who have been there or are going through the same thing as you is different.

So welcome!! 🙂

-Kate

Re: Anal Cancer Newbie

sch — Tue, 18 Feb 2020 05:10:55 GMT

Hi Heids,

Sorry to hear about your diagnosis.

How are you? How is your family coping?

Do you have much treatment left or all complete?

-s

Re: Anal Cancer Newbie

Heidsta — Tue, 18 Feb 2020 09:56:05 GMT

Thanks SO much S for replying - it's lovely of you to take the time to message me. And thank you for your empathy. Are you also a cancer sufferer, or have been?

I am doing very well thank you. My treatment of 6wks radiotherapy with a 96hr chemo pump in weeks 1 & 5 finished on December 13th. I don't know if you're familiar with pelvic radiotherapy, but my beautiful nurses revealed to me at the end of my treatment that it's basically the worst radiotherapy a woman can endure - it's pretty horrendous, & I really struggled physically through the two weeks post treatment. I'm still doing two small dressings on a few stubborn spots, but the majority of my skin has healed very well, thankfully. Internally is another story... still very red & swollen, & I don't have great bowel control yet, if I ever will?! & trying to reintroduce certain foods seems to be proving very slow going with regular 'upsets'! But mentally I'm very strong & at complete peace with it all.

My hubby & sons have been truly amazing & an incredible support. They are also very strong & extremely encouraging & caring. The whole process has certainly made us count our blessings & be thankful for every day. Besides the first week of treatment we stayed in accommodation on the hospital campus for the rest, & it was a beautiful opportunity to connect with others going through various cancer treatments as well as hospital procedures, etc. We shed tears, laughed & hugged people we may never see again, some of whom lost everything in the bushfires & then we're facing serious procedures. So it may sound a little odd, but we are all hugely thankful for our journey so far, & thankful for the opportunities it's brought to be able to help others in ways that otherwise would not have been possible.

So now we await a PET scan some time in April, then a biopsy in June to determine whether any surgery is required.

Thanks again for your concern,

Heids

🙂

What is your journey S???

Re: Anal Cancer Newbie

Heidsta — Tue, 18 Feb 2020 10:00:15 GMT

Thanks SO much for your warm welcome Kate - it's greatly appreciated, bless you!

Cheers,

Heids

🙂

Re: Anal Cancer Newbie

sch — Tue, 18 Feb 2020 10:41:17 GMT

Hi Heids,

It's great to hear that you've had good support from your family. That makes such a difference.

Not everyone is so lucky, so it's great to hear that you have.

Yes, when you stay in hospital with critically ill people, you really learn just how luck you really are.

I'm glad to hear that you've finished radiotherapy. I haven't had it before, but from all reports, it's not very nice.

Are you from a rural area too? I hope your house is OK.

My story? I have genetic predisposition to bowel cancer (lynch syndrome) and in late 2017 I was diagnosed with bowel cancer. I had an operation for a total colectomy and 6 months of chemo (FOLFOX).

Lots of monitoring to continue on, but so far cancer free!

Good luck with the PET scan and biopsy!

Let me know if you have any questions.

-s

Re: Anal Cancer Newbie

Heidsta — Tue, 18 Feb 2020 23:37:20 GMT

Yes, I am extremely thankful for my beautiful family & recognise how blessed I am to have such great support from them. A few people we came across during treatment were not so fortunate & got treated really quite badly by their dismissive partners, so again it causes you to take stock.

We're from the NSW north coast & spend most of our year housesitting in this region as well as south east QLD. We have a little shack at the beach which is our base when we're not out & about. One of he earliest fires in the season at Shark Creek came within a few kms of our little town, but the fires stayed north of us thankfully. Where abouts are you located?

Wow S! What a huge journey for you. It's wonderful to hear you are cancer free so far - congrats! 🙂 My colorectal surgeon who I had my initial colonoscopy through has warned us that if my treatment does not clear all the cancer then I will need a resection resulting in a colostomy bag. They initially detected my cancer literally just inside the anus, but there was also a lemon sized growth pushing against the colon & vaginal wall. I can't feel that discomfort anymore which is wonderful, so we're hoping & praying the treatment has been successful. But even if I do end up having to have the surgery, I'll be thankful just to be alive! I have a lovely friend who is a clinic nurse & she said I need not fear having a bag if necessary as they've come such a long way with them, & many people have them but you'd never know. I hope you don't mind me asking, but how are coping with it all S? Was it a difficult transition for you, or relieving to have alleviated a lot of your risk?

Thanks SO much for chatting - I really appreciate it.

Heids

🙂

Re: Anal Cancer Newbie

sch — Wed, 19 Feb 2020 23:52:58 GMT

Hi Heids,

That sounds like a nice little place. Glad to hear that you escaped the fires. Nasty business that.

I'm in Sydney, but I've lived in a number of places including various places throughout Victoria.

As far as coping with the change, it hasn't been so bad. I've had to adjust my diet a bit, as some foods just go straight through me. I had to try and workout what foods I could tolerate and which foods I couldn't.

How long they were going to take to digest and of course, I need to go to the toilet more often.

So now with different foods taking shorter lengths of time to travel through and needing to go to the toilet more often, if I'm going to be away from a toilet for an extended period of time, I need to plan accordingly. Sounds similar to what you are going through at the moment?

But generally, other than needing to go to the toilet more often, there hasn't been too much change, just being conscious of what I eat. I'm still getting tired a lot easier and I need more sleep. That's proving difficult, but otherwise, life goes on.

And yes, very happy with the lowering in risk.

How is your family going?

-s

Re: Anal Cancer Newbie

Colin81 — Sun, 29 Mar 2020 03:40:33 GMT

Hi Hiedsta,

I read your posts (and Sch's) with interest, a lot of it resonated with me, there is a level of camaraderie with those people you meet with along the way, especially in the cancer wards. I always thought I was ill until I met all these other people who seem to be worse off than me, yes I was ill but they for the most part went stoically forward no matter what confronted them. I am pleased that you have taken the time to join our community, you will find an enormous amount of experience from people who have/are dealing with or been a part of through their friends and/or family. There is nothing like hearing first hand how to get through and deal with this insidious disease that affects so many people. Many of the stories are awe inspiring and assist you in dealing with all the issues that you will be confronted with. Right now you seem to be in a great place (mentally and physically), I can't emphasis strongly enough the support of family and friends is in going through this.

I had my first brush with anal-rectal cancer (Non-Hodgkin Lymphoma) a number of years ago, like you six doses of chemo (individually intravenous) but no radiation at that time, left me pretty devastated and I was unable to work for 2.5 years. Did not want a colostomy bag at the time but was warned that it may occur, fortunately it did not. Many years of partial sigmoid's and colonoscopy's together with seemingly never ending biopsies.

Times are changing and the treatment regime and medications have improved enormously over the years and a positive outlook is imperative no matter the diagnosis. I hope your PET scans are all okay. Hospitals and Covid19 is a problem at the moment, hope it may have eased off in the next few weeks for you to have your scans.

Fortunately we live fairly remotely north west of Sydney, no neighbors, no contact with anyone generally speaking. My GP has banned me from going anywhere and now I do my GP & Specialists consultations by phone. Life's not that bad after all.

Re: Anal Cancer Newbie

HeyJude — Mon, 29 Jun 2020 07:34:54 GMT

Hi, my story is similar to yours (and my age) and Hi, I was wondering how you are going now? I’d like to get an idea of what I might expect over the next few weeks and months. I completed the 30 day chemo radiation treatment on Friday and am now back home with my family - husband and 8 year old daughters living at home and adult son and stepdaughter in the district. Lots of community support but I don’t know anybody who has had anal cancer that I can talk to. Did your side effects increase post-treatment? Have your skin and bowel movements gone back to normal? What scans/investigations did you have and how long post treatment? Any information appreciated

Re: Anal Cancer Newbie

Heidsta — Mon, 29 Jun 2020 10:05:27 GMT

Apologies for my very delayed response, but thanks so much for your warm welcome Kate... greatly appreciated.

🙂

Re: Anal Cancer Newbie

Heidsta — Mon, 29 Jun 2020 10:13:20 GMT

Hi there again S,

My apologies for disappearing for a while.

Just want to check in & firstly ask how you're traveling? Hopefully you're continuing to improve. 🙂

I'm going pretty well, all things considered. I'm SO thankful my PET scan in April was completely clear of cancer, & I just had a biopsy last week so am awaiting the results, but my doc said he has no concerns which is just amazing to me... I keep pinching myself. Thank God!!! It's such an incredible relief.

Sending big love,

Heids

🙂

Re: Anal Cancer Newbie

Heidsta — Mon, 29 Jun 2020 10:50:12 GMT

Hey Jude!

Thanks so much for your message... It's really lovely to hear from someone who understands!

I REALLY feel for you & where you're at right now... How are you coping?

I'm glad to hear you only had to have 30days treatment... That should help with your recovery time too.

Did you have chemo through the PICC line pump, or the tablets?

How's your family coping? Do you have a supportive & loving hubby? It's SOOO hard for them to watch on & not be able to do a whole lot to help you apart from the practical stuff.

To answer your question about side effects increasing post treatment... Unfortunately yes. I'll be honest with you, those two weeks post treatment were the hardest weeks of the whole process for me. The skin fusions were a really tough process. Have you experienced much fusing?

Most of my skin healed fairly quickly, & once we were finished with the Strata gel I plastered the pure sorbelene cream on at every opportunity, so I'm convinced that helped greatly. It's hard when you're a mum with so much still going on at home, but it really is crucial that you keep up with your dressings. The vulval area & surrounds has taken the longest to heal of the external skin (I still have one little red 3mm spot that is in a high friction area that just won't heal!), & the vaginal opening is still SUPER sensitive & gets upset very easily. Thankfully my hubby is very patient & willing to 'talk to the hand' still!!! 😉 So most of my external skin is pretty normal, although totally scarred. Only just in the last few weeks has the feeling of 'stickiness' subsided from the most sensitive areas of my burnt skin.

My bowel movements are finally back to a fairly normal mode of operation. Having said that I just had my biopsy last week, so that was definitely a little setback! The control has definitely improved, but was a slow process. I don't know if you've been told yet, but as soon as your skin is feeling better, start doing pelvic floor exercises as this will help both your bladder control as well as your bowel control. And drink plenty of water. Those larger stools that take longer to pass can be excruciating. I constantly found myself doing birth breathing until the pain subsided!!!

I finished my treatment on December 13th, had a PET scan in April which was clear of cancer, & I just had a biopsy last Tuesday but am still waiting on those results. My doc said everything looks good, all things considered & that he doesn't expect anything untoward which is awesome. It's completely amazing to me to have these results as I not only had the anal cancer detected just inside the anus, but I had a lemon sized lump growing internally that was pressing on my colon & vaginal wall. My radiological oncologist treated me from my pubic bone all the way around & including my tail bone. Was your area of treatment the same?

Where abouts are you based? I'm on the northern NSW coast if it's close enough to catch up? Otherwise, please don't hesitate to keep asking questions & communicating on here. It's wonderful you have great community support, but as you say, no one understands like someone who's already walked the path, & I'm more than happy to help in any way I can. One of my nurses told me that pelvic radiotherapy is the worst that a woman can experience. It's definitely the hardest thing I've had to endure physically - harder than childbirth, 'cause at times you question if it's ever going to end especially so the months start rolling on!

Sending big hugs, & praying you're coping OK.

Much love,

Heids

Re: Anal Cancer Newbie

Heidsta — Mon, 29 Jun 2020 11:06:34 GMT

Hello Colin81,

Thanks so much for your lovely message. I hope you are traveling well.

Also, my apologies for my slow response.

Things are going pretty well thank you, & am SO grateful my PET scan in April was clear. Thank God! I just had a biopsy last week & am still awaiting those results, but my doc said he has no concerns which is terrific.

I'm so sorry to hear the chemo knocked you around so much, but hope you are going better now.

Yes, one of the things I am most grateful for is that I have not required surgery as it would've meant a colostomy bag for sure. My doc was very honest with me right from the outset that there would not be enough function possible if the chemo/radio didn't do the job & he had to operate. Not that it's the end of the world to have a bag as they've come SO far with them these days, but obviously it's preferable not to have one if not absolutely necessary.

Thankfully we're up on the NSW north coast so COVID has been almost non-existent up here. My consults have all been via phone since Feb, & I had no COVID concerns with the PET scan or biopsy.

I hope you're safe too & going well now.

Thanks again.

Kindest regards,

Heids

🙂

Re: Anal Cancer Newbie

HeyJude — Tue, 30 Jun 2020 07:31:18 GMT

Thanks for your quick response Heidsta. I had chemo pump for 96 hours, weeks 1 and 5 of treatment. Family are coping okay: one daughter is taking her teddy to school every day and the other insisted on a phone call every night while I was away. Hubby is very supportive, although is also coping with his own drought-related mental health, fortunately now managed with medication. I haven't experienced fusing - not really sure what that is tbh. I'm using 'numit' cream on sore spots around anal and perineal area. Haven't heard of strata gel. Also using bepanthen cream and moisturiser on groin. I was at the Tennyson Centre in Adelaide which has a cancer support service 'Lift' in the building and included a gym so I went there every day for exercise - including some pilates/pelvic floor exercises as I'm very concerned about sex life post treatment/recovery. All gym clients were cancer patients so everyone was somewhere along the treatment continuum however none with anal cancer that I met. I also saw a dietitian at Lift and am trying a low fibre diet to help with bowel movements. Also taking gastro stop. I hope your biopsy is clear, sounds like it should be after a clear PET scan. I had treatment to the anal tumour and both groin lymph nodes, one of which looked 'suspicious' although PET scan showed no metastasis, so not as extensive as your treatment which sounds horrible. Unfortunately I was misdiagnosed in November and January (despite having a history of abnormal cervical cells in my 20s) before correct diagnosis in April which was frustrating. Although not as frustrating as wanting to scratch my itchy bum crack but not being able to! I've also been using labour breathing as a coping mechanism. Hair loss is also its own kind of discomfort and I hope the burns on my groin fade over time. I live on a farm on Eyre Peninsula, SA but have family at Byron Bay. Thanks again for your reply, I was really hoping to find someone (preferably in Australia) who could understand the experience.

Re: Anal Cancer Newbie

Heidsta — Tue, 30 Jun 2020 10:36:09 GMT

My pleasure HeyJude,
Well it sounds like you're doing really well, all things considered. And if you don't know what skin fusions are yet, then it sounds like you may not experience them at all?.. which is fantastic - I'm so glad for you. (Basically all my 'girly bits' fused together & I woke up 2 days after treatment finished to no vagina!!! I had to 'unfuse' them every day for nearly 2 weeks post treatment. SO painful, a bloody mess, stung like hell, & just not a nice experience to be tearing flesh on purpose! But thank God that's all behind us. Christmas & New Year's was a total write off).
I'm amazed you were able to attend the gym! Go you!!! I could barely walk from the bed to the bathroom most days in the final week of treatment & the few after. I couldn't wear undies for 6 months, & have only just managed jeans in the last few weeks which is usually my winter staple.
Our chemo program sounds the same. I had an initial dose of Mitamycin then Flurourocil through the pump in weeks 1 & 5. Did you end up losing all your hair, or has it just thinned? Mine thinned a fair bit so I looked like a 90 year old for a while! It hasn't taken too long to grow back though & is a few inches long now. I've always had long hair though, so shortish hair is a big change for me. My hairdresser has kept some length on the top & front & we'll just keep trimming the length 'til the new growth catches up.
Your girls sound so gorgeous. Thankfully the're not old enough to totally comprehend what you've endured. The separation must've been really difficult for you too. We stayed on site at the Coffs Harbour Health Campus for weeks 2-6 which was fantastic as I just had to walk across the carpark to the Cancer Institute. The boys had their own room next to ours. We would've had to have travelled 3hrs a day otherwise, & there's no way I could've physically done that.
It's really sad to hear about your hubby's health issues too. Cancer certainly would've been the last thing you needed. I have an older brother with major mental health issues so I understand some of the battles. It's fantastic your hubby's willing to be on meds as it seems crucial to at least get that kick start back to stability, & whether it ends up being a permanent thing doesn't matter... whatever is needed to keep on keeping on. We have friends here who battled to get their stock through the drought, then the bushfires, then near floods with the post-fire rains. Such dreadful times. I really hope your hubby continues to improve.
Funny you haven't heard of Strata gel as I haven't heard of numit cream! The Strata gel was almost like a scotch guard for the skin to help alleviate some of the extent of the burns. I had to coat it like a skirt every morning after my shower. It retails for $150 for a 110ml tube!!! Thankfully I didn't have to pay a cent though.
I've always been on the 'blocked' side of the spectrum which is what led me to requesting a colonoscopy from my GP to check out why I was spending hours on the loo every day just to pass tiny marbles. The doc that did the colonoscopy has been doing them up here for over 40years & mine was the first case of SCC in the anus he'd ever seen, so I don't think we're a very common breed. Thankfully I didn't have much diarrhoea issues at all, just the urgency of needing to go straight away. I was in my laundry putting a load on about a month after treatment finished & suddenly had to poop in an instant! Plopped straight on the floor! I look back now & laugh, but it was a little distressing at the time... just wondering how long I'd be in that state. Nowadays I still have a slight urgency but I can comfortably get to the loo in time. I don't plan to do anything in the mornings though, not 'til I've pooped & then I'm usually OK. Yesterday I did have a little 'surprise' turn up at Woolies but thankfully they have their own loo.
Yeah, we have no sex life yet. We managed to keep going up until about week 4 of treatment, but that was as much as I could take & my hubby hated it knowing it was so painful. My colorectal surgeon warned me that some women end up having to be sedated for a Pap smear their internal scarring is so bad. Do you have to use dilators?
Oh! And the itchy bum! Yes!!! That is completely infuriating. I remember being kept awake at night I was so itchy. Have they suggested you take Loratadine? It's the same component as Claratyne tablets which are an antihistamine. I found it alleviated the itch a little, at least enough to sleep better. Unfortunately the itching will continue for a while but it does go as quickly as it came.
Glad to hear your breathing through the pain. I was SO thankful I'd already had kids & knew how to breathe through the worst of it. I'm not sure if the burns fade. I'll have to look into that. My bikini days are long gone so it doesn't worry me.
That's quite amazing you had the history of abnormal cervical cells. I had HPV back in 2006 & my gyno took a huge biopsy off my cervix. We weren't sure if I'd be able to have any more kids it was so extensive. But we were thankfully blessed with our second son the year after. I'd also had it detected again in the few years leading up to my diagnosis, but at NO time did anyone ever suggest I should keep an eye on the activities of my back end. I reckon I had the SCC for years considering it's a slow growing cancer & the biggest of my lumps was the size of a lemon.
The Eyre Peninsula is so beautiful. What a lovely part of the world for you to recover. I just hope & pray the drought effects turn around for you guys sooner rather than later.
Please feel free to message any time, & please let me know how you're getting on too. It's also great for me to talk to someone who understands as I haven't had that through treatment either. So thank you.
Big hugs,
Heids
😊

Re: Anal Cancer Newbie

HeyJude — Mon, 06 Jul 2020 05:59:49 GMT

Hi Heidsta

Fusing sounds horrendous, I'm so glad to hear you are now past that! I had the same chemo drugs as you but maybe less of them as my only hair loss was pubic, which I do hope grows back. Hard to tell if it's just general swelling or lack of hair protection over sensitive skin that is creating the discomfort - probably a combination of both. I'm feeling much less pain and fatigue now, which is a pleasant surprise however I can still feel the tumour and hope that it will eventually disappear. Did you have this experience of still feeling the tumour post-treatment? It's so nice to connect with someone who understands.

Re: Anal Cancer Newbie

Heidsta — Mon, 06 Jul 2020 11:23:43 GMT

Sooo glad to hear you had no head-hair loss - that's really terrific! The more 'normal' things can stay, the better I think. Most of my pubic hair has grown back, just not where the burnt skin is. But by the sounds of it your burns are nowhere near as bad, so you might be back to normal there before you know it?!

You're doing SO well to be feeling better already - I was still hitting the wall at this point! Go you!!!

Yes, I did still feel a presence of my tumour for a while. My colorectal surgeon told me they used to do a biopsy at 3months & 6months post treatment, but they axed the first one as there was pretty much always cancer cells still present in the tissue. By 6months they are mostly gone though, so the effects of the treatment keeps working well beyond the actual schedule.

Yes, I think it's really helping me to talk about this stuff with you too HeyJude as someone who relates, so thank you SO much for getting in touch & listening to my stuff too.

Big hugs, & keep doing great!

Heids

🙂

Re: Anal Cancer Newbie

Terri — Wed, 08 Jul 2020 00:19:06 GMT

I had anal cancer back in 1997 when no one would talk about it so hopefully alot has changed. They did not know I had cancer I went to surgery thinking a fissure was going to be removed but that is when they found the cancer. Half of my anus was removed at that time. {I don't think they even do that anymore & I sure don't advise it. If I could do it over I would have had a colostomy.) they did not reach clear margins so rad. & chemo were both advised. I refused the chemo but did try 16 out of 36 rad. treatments which put me in the hospital for 2 weeks for burn/pain, called a saddle burn. That is when I stopped treatments. Fiber helped to bulk up my stool & helped with the diarrhea because I had little warning and had to wear pads & continue to do so as it only got worse over the years & I seldom leave the house. SO, that was my story but that was years ago. I recently helped a lady that did not have surgery, just rad. & chemo & she did great. No problems at all. In 2001 I had a hysterectomy & in 2018 I had VIN & a Vulvectomy. As I look back maybe I should have had the chemo. I hope this helped & has not upset you. I am just telling u my story because I had no one to talk to. Always here if you need me, Terri

Re: Anal Cancer Newbie

Heidsta — Wed, 08 Jul 2020 23:42:56 GMT

Hello Terri,

Thanks so much for sharing your story. You've certainly been through the the mill! I'm sure it was a very difficult journey with no one to talk to who truly understood what you were going through, but I'm SO glad you've come so far and are now able to share with us here.

For myself, such was the placement of my cancer that I would've had no option for a recection, only a colostomy, & by the sound of things for you I'm glad that wasn't possible! I'm sure you're correct that things have come a long way since your treatment. I too ended up with severe 'saddle' burns because of my treatment zone of pubic bone right around & including the tail bone. It's pretty horrific treatment, & one of my nurses tole me it is the worst radiotherapy there is for a woman, so no wonder you ended up in hospital. I don't know what age you were when you had your treatment, but it's also harder on older women as their skin is more delicate & doesn't cope very well.

Yes, 'toilet timing' is always a key factor nowadays, & I don't plan anything anymore in the mornings until the 'garbage has been emptied', but I'm sure it's a far bigger issue for you to try to manage. Isn't it amazing how different we are?... I need to be almost religious about what I eat & when I eat it so as not to get blocked up! I still have the urgency of needing to go immediately though when it does happen.

It fascinates me how much I never thought of & took for granted in the past, like even just sitting down without having to think about how I approach that. And there's always new things that pop up, like straddling a puddle! My skin reminded me very quickly that I should've walked around it instead!!!

That's wonderful you could help that lady through her treatment & give her someone to relate to Terri. Hopefully that helped you process some of your own journey too.

It's very interesting you ended up with VIN & requiring a vulvectomy. My mum had Lichen Sclerosis about 8yrs ago which she ignored for too long (due to assuming it was just her psoriasis playing up), & it turned cancerous requiring her to also have a vulvectomy with radical reconstruction. My gyno said she will monitor me for the rest of my days to ensure I don't go down that same path, as Lichen Sclerosis can easily develop from trauma to that area like we've experienced from the radiotherapy burns. It's something that can be easily controlled with a steroid cream if it's detected early enough thankfully.

This is not at all upsetting to me Terri - thank you for having the courage to share with us.

I have a few questions, but feel don't feel obliged to answer them...

How did you go 'internally' after the radiotherapy? I'm now almost 7months post treatment & my vaginal opening is still incredibly sensitive. I'm also still using 'dilators'. Do you recall what the time frame was before you felt 'normal' again down there?

And did your treatment bring on menopause for you? If so, how did you find it affected you most?

Thanks again Terri. It's so great to have others to talk to, & I know you understand that.

Heids