My Periods Stopped

Menopause is a natural part of a woman’s life. However, when it happens abruptly or early as a result of chemotherapy, symptoms may be worse than when it happens progressively. Either way, there are many options available to manage these symptoms and help you get back to a more normal life. Some options may not be recommended for those with certain cancers so it is important to talk to your doctor about the symptoms you are experiencing so that you can be referred to someone who knows how to manage them, particularly in a woman with a cancer history.

Hot flashes are one of the most common complaints amongst women once they begin the menopause transition. For some, symptoms are manageable while for others, they significantly impact quality of life. Hormone therapy with estrogen with progesterone (if the woman has her uterus) are effective in managing many of the symptoms-one stop shopping. However, estrogen is contraindicated in women with estrogen sensitive cancers such as breast cancer.

Thankfully, there are many effective non hormonal options including antidepressants, blood pressure medication and more. Vaginal dryness is also a common issue which impacts sexual function and quality of life. This can result from menopause alone, but also from surgery in the pelvic area, radiation and some medications used to prevent breast cancer recurrence such as aromatase inhibitors. Local vaginal estrogen has been used successfully to treat this issue. It is minimally absorbed so can be used by women with a breast cancer history. This requires a prescription. In addition, there are a number of over-the-counter options such as hyaluronic acid, vitamin E and vaginal moisturizers and lubricants which have been effective as well. Often, these products are used in combination for maximal effect. As always, it is best to discuss what options are best for you with your doctor

Depending on the treatment and your age at the time of treatment, your periods may eventually resume. While it may not be possible to predict who will have a resumption of cycles, your doctor should be able to give you an idea of what to expect. There is a difference between living and surviving after cancer. You and your medical team should address your needs to maximize your quality of life.