Post-Endometrial Cancer Surgery: Common Concerns and FAQs

Q: Post-Endometrial Cancer Surgery: Common Concerns and FAQs

Hello, Apple： 1. <br>If the ovaries still have function and ovulation is ongoing, estrogen levels will remain high, so close monitoring is necessary. <br>2. <br>The vagina and surrounding areas still have glands that produce secretions; if there are secretions without symptoms, i

Postoperative care for endometrial cancer?

Hello Doctor, I had surgery for endometrial cancer about two months ago, during which my uterus and part of my lymph nodes were removed (ovaries retained).
The pathology report indicated stage 1a, so the doctor said I only need to follow up every three months.
However, I still have several concerns and questions that I would like to ask you, thank you.
1.
Since my ovaries are still intact, does this mean that eggs continue to mature each month? Is this something I should be concerned about? What if my estrogen levels remain high?
2.
After the vaginal closure, there will still be secretions, correct? Will I need to receive the cervical cancer vaccine in the future?
3.
Are there any other precautions I should take regarding sexual activity? Am I at a higher risk for infections?
4.
Will I experience any early symptoms of menopause? Will I need hormone replacement therapy?
5.
Can I wear shapewear or tight clothing?
Thank you, Doctor, for taking the time to answer these questions.

Pingguo, 40~49 year old female. Ask Date: 2023/06/05

Dr. Lin Xinwang reply Obstetrics and Gynecology

Hello, Apple: 1.
If the ovaries still have function and ovulation is ongoing, estrogen levels will remain high, so close monitoring is necessary.
2.
The vagina and surrounding areas still have glands that produce secretions; if there are secretions without symptoms, it is normal.
It is recommended not to receive the vaccine, but a Pap smear should still be performed every 2 to 3 years, as the vagina also needs to be checked.
3.
Additionally, for abnormal sexual activity; if there are menopausal symptoms, it is advisable to treat the symptoms without hormone replacement therapy.
4.
Clothing should prioritize comfort.

Reply Date: 2023/06/05

More Info

Post-Endometrial Cancer Surgery: Common Concerns and FAQs
Hello! It’s understandable to have concerns after undergoing surgery for endometrial cancer, especially when it involves significant changes to your reproductive system. Here are some insights regarding your questions:
1. Ovarian Function and Hormone Levels: Since you have retained your ovaries, they will continue to produce eggs and hormones, including estrogen. This means that your menstrual cycle may continue, and ovulation can still occur. If you are concerned about high estrogen levels, it’s essential to discuss this with your healthcare provider. They may monitor your hormone levels and assess whether any intervention is necessary, especially since high estrogen can sometimes be a concern in the context of endometrial cancer.

2. Vaginal Discharge: After a hysterectomy, it is common to experience some vaginal discharge, even if the uterus has been removed. This discharge can vary in consistency and amount. It’s important to maintain good hygiene and monitor for any unusual changes in color, odor, or consistency, as these could indicate an infection. Regarding the HPV vaccine, it is generally recommended for women under 26, but it can still be beneficial for older women if they have not been previously vaccinated. Discuss this with your doctor to see if it’s appropriate for you.

3. Sexual Activity Considerations: After surgery, it’s crucial to allow your body time to heal. Typically, doctors recommend waiting about 6 to 8 weeks before resuming sexual activity, but this can vary based on individual recovery. When you do resume sexual activity, be mindful of any discomfort or pain, and communicate openly with your partner. Using lubrication can help alleviate discomfort. As for the risk of infection, maintaining good hygiene and ensuring that any sexual activity is consensual and comfortable can help minimize this risk.

4. Menopause Symptoms: You may experience menopausal symptoms sooner than expected, especially if your ovaries are not functioning optimally after surgery. Symptoms can include hot flashes, night sweats, mood swings, and vaginal dryness. If these symptoms become bothersome, hormone replacement therapy (HRT) may be an option to discuss with your healthcare provider. They can help weigh the benefits and risks based on your individual health history and cancer treatment.

5. Wearing Compression Garments: Wearing a girdle or tight clothing after surgery is generally not recommended, especially in the initial recovery phase. These garments can put pressure on your abdomen and surgical site, potentially leading to discomfort or complications. Once you have fully healed and your doctor gives you the green light, you may be able to wear tighter clothing, but it’s best to listen to your body and avoid anything that causes discomfort.

In conclusion, it’s essential to maintain open communication with your healthcare team regarding any concerns or symptoms you experience post-surgery. Regular follow-ups are crucial for monitoring your recovery and addressing any potential issues early on. Remember, your health and comfort are paramount, so don’t hesitate to reach out to your doctor with any questions or concerns as you navigate this recovery process. Wishing you a smooth recovery and good health ahead!

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