Rhonda – Interview 32
For Rhonda, the onset of menopause followed a mastectomy for breast cancer and removal of both ovaries. Treated with tamoxifen, she is now taking Arimidex. Night sweats impact on her sleep but she is unable to take HRT.
For Rhonda, the onset of menopause followed a mastectomy for breast cancer and removal of both ovaries. Treated with tamoxifen, she is now taking Arimidex. Night sweats impact on her sleep but she is unable to take HRT.
My story’
Diagnosed with breast cancer at age 37, Rhonda underwent a mastectomy followed by radiotherapy. Given the oestrogen-sensitive nature of her tumour, she had both ovaries removed, precipitating the onset of a premature menopause. Two months after her operation Rhonda started to experience hot flushes and sweats at night which disrupted her sleep, leaving her feeling tired and unable to concentrate clearly during the day.
Other symptoms have included vaginal dryness. Despite an understanding husband who is very gentle;, she has found sexual intercourse, even with lubricants, painful. Smear tests have also been absolutely uncomfortable;. An oestrogen cream prescribed by her doctor and applied internally for a month before the smear test has eased the discomfort. Despite her willingness to share this aspect of her experience, she feels that vaginal dryness and its effect on libido is a symptom of the menopause which people don’t tend to want to talk about; because it is a very private thing;.
Unable to take HRT or to use some herbal remedies because of their oestrogen content, Rhonda has developed a range of strategies for managing her symptoms. Identifying hot spicy food, wine and tea as triggers which bring on hot flushes, she now avoids these where possible. In bed at night she uses cooling devices such as a Chillow Pillow and Koolers, as well as adopting visualization techniques where she imagines herself in a lovely beautiful blue sea;. Taking a low dose of calcium and magnesium as well as eating a very healthy diet; and exercising help offset the increased risk of osteoporosis associated with early menopause.
Rhonda describes the impact of going through the menopause in her late 30s as life changing;. Hot flushes, which she refers to as hotties;, have meant that fashion-wise she has had to make adjustments, wearing thin tops rather than beautiful jumpers;. She is very conscious that she has put weight on around her stomach and wonders if she would have the lines on my face; if she were not going through the menopause. Although her husband, mother and her brilliant; GP have provided support, she has been unable to share her experiences with friends her own age who are yet to reach the menopause
Rhonda acknowledges that the tamoxifen, prescribed to strip oestrogen; from her body for five years after her operation, may have exacerbated her menopausal symptoms. Now on Arimidex, she has noticed a decrease in the severity of her hot flushes and sweats, although these continue to impact on her sleep at night and her energy levels during the day. Despite the frustration she sometimes feels, she is adamant that she can come through the menopause. Her one consolation is that having had an early menopause, she hopes to be through it by the age of 50.
Rhonda was interviewed for Healthtalkonline in April 2009.