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  • lsharvey822
    lsharvey822 Member Posts: 257
    edited July 2012

    I choose to believe they are trying to distract me instead of draw me into needless drama! :)  Now what test do I need next?  I'm not sure transvaginal sounds like much fun!

  • Stacie
    Stacie Member Posts: 607
    edited July 2012

    lsharvey -prayers for your sister. I begged my sis to get a mammo, she's overdue...I don't want anyone I love going through this.

  • onvacation
    onvacation Member Posts: 1,344
    edited July 2012

    Stacie - I finally got my sister to get a mammogram 5 months after my diagnosis - it took daily nudging!  She finally did and luckily it was fine!

  • Stacie
    Stacie Member Posts: 607
    edited July 2012

    Good news Kim. I hope my sis does the same.

  • slak
    slak Member Posts: 179
    edited July 2012

    A transvaginal ultrasound is a very quick painless easy procedure.  I had one done after my lumpectomy & re-excision but before chemo.  Found what looked to be a polyp.  I was in such surgery mode that I had them schedule the D&C and got it done before starting chemo.  Thankfully the polyp was benign.  Now I'm all cleaned out.  That was my third time under the knife in a 6 week period and I felt like telling them to go ahead and whatever else you find needs fixing, just do it while I'm still under (LOL).  I learned a couple of things early on with those surgeries:  1) there is no way to maintain modesty in this bc process, and 2) men just have no idea how easy they have it compared to us  : )

  • sandik
    sandik Member Posts: 482
    edited July 2012

    I've had transvaginal ultrasounds yearly for the last 4 or 5 yrs for fibroids. It does not hurt. You have to drink a lot of water to get a full bladder. But, we are used to chugging water by now. haha I've gotta schedule my gyno appt too. I missed it last year. 

    Lisa hope your sister hears good news. I talked 2 out of 3 sisters into mamograms. Both are clean. Mom is clean too. Cousin had a lump but was benign. Same with our makeup artist. My older sister is scheduled but says the dr can't get her in til Oct. This is since March. I'd be looking for a new dr.  

  • hopeful123
    hopeful123 Member Posts: 191
    edited July 2012

    Lisa- I hope it is nothing. My sister who is 33 was asked to get a mammo as soon as I was diagnosed. She had a couple of spots too, but biopsy showed it was benign. They tend to be more cautious given our diagnosis. I hope it is the same with your sis.

  • hopeful123
    hopeful123 Member Posts: 191
    edited July 2012

    Kjiberty- thanks. Feels good to be back and posting.

  • slak
    slak Member Posts: 179
    edited July 2012

    Speaking of sisters, as soon as mine heard my diagnosis she immediately got an appt with an oncologist.  The oncologist recommended screening with mammos and MRIs (she's on the west coast) Now, here on the east coast in the very prominent cancer center I'm at, MRIs are not necessarily used for screening even if you've had cancer before.  So I was in the position of having my sister being more intensely monitored than me.  I thought that seemed weird, but it goes to show you how different areas have different standards they follow.  I decided to ask for, and did get, screening by MRI as well as mammos (alternating every 6 months).  If I hadn't asked for it, I wasn't going to get it.  I understand the issues with it (false-positive rate), but they missed my dx for a long time using mammos so I don't have confidence in it alone.  At this point given all I've been through, I'm willing to deal with the potential of extra biopsies to avoid something missed again.  How are you all being monitored in the future?

  • kjiberty
    kjiberty Member Posts: 1,385
    edited July 2012

    Dance:  I was so busy at work today, didn't get a chance to call my gynie.  I had a client today who is 67 and in her 4th year of tamox.  I just don't get it.  I know I will need a dexa, per my discussion with my MO.  I had one 4 years ago when I was 53 and have osteopenia already.  Lucky me.  Not looking forward to more bone loss.  That's all I need.  

  • Husker123
    Husker123 Member Posts: 101
    edited July 2012

    I'm headed to the MO today. I will ask what all tests I need to be thinking about. Thank you for pointing this out!

    We've been having a discussion about Tamoxifen. So I know she's ordered a blood test to see where I'm at hormone wise. This seems like the start of another adventure into the unknown.

  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited July 2012

    kjiberty - here's what I have learned.  If you are premenopausal (or possibly still premenopausal, like me - too early to tell as my period may come back) - you really have no choice - you only have Tamoxifen to take.

    If you are postmeno, you have a choice.  You can take Tamox OR an AI.  If you are very concerned about your bones, you may want to consider Tamox, as it does actually slightly build bone.  Yippee!  The risks, though, are uterine cancer (hence the reason for the transvag US), blood clots, and glaucoma (I'm going to also get a baseline test for that from an opthamologist).  The bigger issue with AI's is about 30% get joint pain.  There are likely additional issues, but I haven't researched it as well.   Pick your poison...as usual!  

    Many women start on Tamox and after 2 or 3 years switch to an AI b/c research has shown that combo may be more effective at preventing recurrence than either all Tamox or all AI.

    BTW, the gals on the triple + thread validated that yes, sexual dysfunction can happen with chemo/menopause.  However, it can be prevented with regular sexual activity, b/c that often brings blood flow to the area.  Here is a great article (click through to read it all) from Mayo that someone posted:

    Vaginal atrophy
     

    The discussion on that thread has evolved to the following:  "Use it or lose it" and "shopping time for a vibrator"....LOL!!! Embarassed 

  • Hiker61
    Hiker61 Member Posts: 65
    edited July 2012

    I am premenopausal, but can't take tamoxifen (I have a genetic mutation that puts me at higher risk for clotting), so my only choice is an AI. I have an oophrectomy scheduled for mid-September, but we may wait to see if chemopause "sticks" so I can avoid the surgery. Although I am 51, my pre-chemo hormone levels indicated that I wasn't even in perimenopause yet, so they were concerned I'd get my period again after chemo. (My sister went through menopause at age 58!) We'll see--I hope to avoid another surgery, even though it's outpatient.

  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited July 2012

    Hiker - really hope the chemopause sticks so you don't have to have another surgery.  Uggh! 

  • Hiker61
    Hiker61 Member Posts: 65
    edited July 2012
    Thanks Dancetrance--I don't think the surgery would be a big deal, but would rather skip it! So, I guess I'll keep hoping for those hot flashes to continue...Embarassed
  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited July 2012

    Isn't is just crazy the things we wish for?  LOL!  

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited July 2012
    Hikergal, Dancetrancer and Stacie- As I recall, Stacie once said that bc makes you have sick thoughts (I think it was when Stacie had figured out drug combos to the timing of the "C" & "D" trains).  I agree, it is crazy what we think about and wish for these days......
  • Stacie
    Stacie Member Posts: 607
    edited July 2012

    Yep that was me. Last round during the C train I pondered whether to take a double dose of meds that caused simultaneous D train, vomitting, and cramps once or wait it out and risk rectal bleeding a second time...UNbelievable! It worked out with neither occuring. Before cancer I pondered what was for dinner.

  • Stacie
    Stacie Member Posts: 607
    edited July 2012

    PS I had a total hysterectomy for Endometriosis in my 30's, 49 now. Did a year of high dose Depoprovera to stop Estrogen following surgery. The dryness caused pain that continued to worsen over time. HRT was my only relief which I was prescribed due to the severity of my menopausal symptoms and no family history of bc...and nothing over the counter relieved the pain. Went through a lot including more surgery. Now without estrogen? Bummer! I call all these other life changing symptoms "BONUS CRAP" and its a long list. We are beyond strong.

  • kjiberty
    kjiberty Member Posts: 1,385
    edited July 2012

    Dance:  Thanks for the insight. When I was at the RO today, they asked me if I had started arimidex yet, and I said no, and she mentioned, Oh, maybe I jumped the gun.  Go see my MO next week to learn my ESD fate. 

  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited July 2012

    Stacie!!!  I am cracking up!!!!  

    kjiberty - you made me remember...my surgeon told me not to start Tamoxifen while on radiation unless my RO said it was ok (this was before we even knew I needed chemo).  The RO said that most of the studies didn't show significant increased risk with Tamox during rads; I'm like - of what?  And I think I remember her saying for radiation pneumonitis...but I can't remember for sure!  I did a bit of reading, and I remember deciding I just wasn't going take the risk of any interaction, even if it was small.  So I didn't start the Tamoxifen while on rads.   Soooo, that's something else to discuss with the RO and decide about.  

  • slak
    slak Member Posts: 179
    edited July 2012

    Interesting about rads and tamoxifen - neither my MO nor my RO had any problem with me starting tamoxifen.  The only issue my MO mentioned was that it would not be clear which of the two was the cause of any side-effects if I had any.  I opted to start 2 weeks ago (during rads) and haven't had any side effects except two nights of increased night sweats at the one week mark which have since disappeared.  Otherwise I feel good and my only real issues are still from the chemo (hair, nails, etc).  Keep us posted on what your ROs say about this.

  • kjiberty
    kjiberty Member Posts: 1,385
    edited July 2012

    Slak and Dance:  I will keep you posted.  I have a sneaking suspiscion I am going on Arimidex.  All that stuff scares the living daylights out of me.  Not looking forward to major hot flashes, joint pain, bone loss, etc. Hopefully, I won't have to go on anything until after rads.

  • Januaryice
    Januaryice Member Posts: 120
    edited July 2012

    My ONC said that I would be on Arimidex for the next five years. She agreed to wait until I finish my radiation. I want to be able to keep the SE separate. Maybe I'll be lucky and not have any at all.)))))))

  • Lezza13
    Lezza13 Member Posts: 957
    edited July 2012

    dance:  All those suggestions are great ides. I guess I will start the Tamox on Mon since I will be five days post exchange. I am not on rads. I did get a transvaginal done and all was clear. I wanted a baseline too.  All those other ideas are great for women who have not had bc pills.  I guess I have to deal with hot flashes again.

    Good luck with rads to the ladies from TC Thread.  And all of you other ladies as well.  Will let you know how Tamox differs in SE's than BC pills. I had no issue with them. Best of luck

  • Hiker61
    Hiker61 Member Posts: 65
    edited July 2012

    I will also start on Arimidex (anastrazole) after I finish rads. My MO says for 5 to 10 years! The only SE that scares me is the joint pain because I'm a runner, but she actually said exercise helped decrease any joint pain, so we'll see. I may not have that at all anyway--hoping!

  • apple
    apple Member Posts: 7,799
    edited July 2012

    thanks for this thread.  I am doing my at least 4th round of infused chemo.  I liked the first double one, where i could take a 6 hour nap.

  • kjiberty
    kjiberty Member Posts: 1,385
    edited July 2012

    Hiker and January:  I am assuming I will be on arimidex as I am post-menopausal.  I was also told by my BS that it could be 10 years!  Ugh! It is a discussion my MO and I will be having on Friday.

  • Lezza13
    Lezza13 Member Posts: 957
    edited July 2012

    melrosemeltrose:  Hi there!  How are you doing?  What round are you on? How are the trials going.   See, nice to find you here.  Had my exchange last Wed which went better than expected. Am 6 days post op and wearing a bra that feels like expanders but should come out in three weeks.  Thinking about you.

     All of you ladies going on Armidiex- there are lots of threads out there for that drug too. I found one for Tamox as well.  I started Tamox today. Onc is not sure if I am post menopausal or what.  Have not had a period since Dec but not offiical before that date because of low dose bc pills I took for hot flashes. Now with Tamox I get them anyway! Oh, well......life goes on.

  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited July 2012

    Good afternoon ladies! I had a bunch of tests this morning at the gyn office. Dexa scan (slight bone loss, but doc says normal for my age), normal transvag US, annual pap (always fun, NOT!).  Opthamologist in a few weeks, then will be starting Tamoxifen.  Yippee! 

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