Menstrual Changes After Chemotherapy: Your Questions Answered - Oncology

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Hello, doctor...
I would like to ask...
I finished chemotherapy nearly two months ago, but my menstrual cycle has not returned...
It has been two months since my last period...
Is this related to chemotherapy??? Can I see a traditional Chinese medicine practitioner and take herbal medicine???

Mi Mi, 20~29 year old female. Ask Date: 2004/02/16

Dr. Lin Zongzhe reply Oncology


Hello! Menopause may be related to chemotherapy.
The younger you are, the greater the chance of your menstrual cycle returning.
Chemotherapy has just concluded, but it is important not to forget to continue follow-ups with the oncology department.
Wishing you all the best.
Sincerely, Dr.
Lin Tsung-Che, Oncology Department, Taoyuan Hospital.

Reply Date: 2004/02/16

More Info


Menstrual changes after chemotherapy are a common concern for many women undergoing cancer treatment. Chemotherapy can significantly impact the menstrual cycle due to its effects on the ovaries and hormonal balance. In your case, experiencing a missed period for two months after completing chemotherapy is not unusual, and it can be attributed to the treatment you received.

Chemotherapy drugs are designed to target rapidly dividing cells, which include not only cancer cells but also healthy cells in the body, such as those in the ovaries. This can lead to temporary or permanent changes in ovarian function, resulting in irregular menstrual cycles or amenorrhea (the absence of menstruation). The extent of these changes can vary based on several factors, including the type of chemotherapy drugs used, the dosage, the duration of treatment, and the individual's age and overall health.

For younger women, the ovaries may recover after chemotherapy, and normal menstrual cycles may resume over time. However, for some women, especially those who are older or received certain types of chemotherapy, the effects can be more permanent, leading to early menopause. It's essential to have an open discussion with your oncologist about your specific situation, as they can provide insights based on your treatment regimen and individual health status.

Regarding your question about seeing a traditional Chinese medicine (TCM) practitioner and taking herbal medicine, it is essential to approach this with caution. While some women find relief from menstrual irregularities through TCM, it's crucial to ensure that any herbal remedies do not interfere with your recovery or interact with any medications you may be taking. Before starting any new treatment, including herbal supplements, consult with your healthcare provider. They can help you assess the safety and potential benefits of such treatments in the context of your overall health and cancer recovery.

In summary, it is likely that the missed periods are related to your chemotherapy treatment. While some women may experience a return to normal cycles after a few months, others may face longer-lasting changes. Consulting with your oncologist is the best course of action to understand your specific situation and explore options for managing any symptoms you may be experiencing. If you are considering TCM or herbal remedies, please discuss this with your healthcare provider to ensure a safe and coordinated approach to your health care.

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