#tw gynecologic cancer

[firemedicdiaz]

It’s over.

It’s finally over.

I’m free.

Had my final appointment at the cancer clinic today.  It was a pelvic exam and colposcopy to make sure that I was all healed up inside after the hysterectomy and that there were no traces of any abnormalities.  I’d been anxious about the appointment for WEEKS.

It wasn’t my surgeon who saw me, it was one of her associates, but she was so kind and understanding and empathetic that I felt good about it going into the procedure. The procedure itself was super un-fun given how one of the symptoms of menopause is vaginal dryness/atrophy.  All the lube in the world didn’t make that speculum go in any easier and it hurt like hell, but once it was in place it was fine.

After a thorough look and feel and a LOT of anxiety on my part, the doctor pronounced me fully healed and fit to return to all activities.  She said that there is no need for them to see me again, that this is it, but that if I have any concerns come up or any questions in the future or issues related to any pelvic health, to give them a call back and they’d take me back on without question.

That said, though, I never need another pelvic exam.  I never need another pap test.  I never need to deal with all of the menstrual bullshit again.  I can bid cancer goodbye and good riddance.

It’s actually, finally over.

[useless-englandfacts]

Following the news that Kate Middleton has in fact been diagnosed with cancer, I’d like the take the time to offer some information on cancer in afab people and some charities to support.

Cancer is a very personal and scary thing to face, and according to Cancer Research UK, every two minutes in the uk someone is diagnosed with cancer. Over 182000 women in the uk are diagnosed every year.

Almost half of all cancer cases are diagnosed at stages 3 & 4, and screening rates for breast and cervical cancers have fallen in the last few years in England and Scotland.

According to The Eve Appeal, around 60 afab people are diagnosed with gynecological cancers alone every day in the uk, and 21 of them will not be able to receive appropriate treatment in time.

People around the world are woefully uneducated about cancer as a whole, but the stigma and lack of proper knowledge given to the public and young afab people about our own bodies means that we often go under diagnosed, or are too afraid or ashamed to see a doctor until it’s too late.

I’ll be listing some informational pages to help people learn about the signs of breast and gynecological cancers that I believe every young person with an afab reproductive system needs to know. On the pages from The Eve Appeal and Breast Cancer UK there is also information for transgender and intersex people.

All of these sites have information on how to identify possible markers of cancer, information on how to get tested, and on how to donate to their charities. I highly suggest everyone regardless of gender identity have a look through to potentially help yourself or a loved one.

-Roe

[nervoustragedyluminary]

TERFS:

" aww you poor misguided transmen those mean evil transwomen could never understand or advocate for your safety and rights like we do, Afab solidarity!"

The "solidarity" :

"i don't understand why you can't just try harder to be exactly like me just repress your dysphoria harder because transition makes you ugly and unlovable!"

"were you born with a vagina?I need to know in order to decide if you deserve empathy. If you're intersex you're a disorder btw"

"You must be this cisfeminine looking, have a "female name" use "she/her" pronouns and call yourself a woman in order to be allowed access to birthcare/ BC/Abortion/gynecological care/cancer treatment /domestic violence and sexual violence services otherwise being denied access to these services is YOUR fault"

"you must partake in our violence against trans women /anyone we assume is a TW and erase the violence we do against trans men & anyone we assume is a TM & if you refuse we'll call you a handmaiden - (characters who were systematically repeatedly raped in a way that implies you're asking for and Complicit in sexual violence against you) because we didn't actually read the handmaid's tale and think the wives were the heroes "

"Being forced into pregnancy or sex would "fix" your transness"

"You are worthless as a human being if you aren't fertile or beautiful to me and my peers"

"you faced DV/SA? Well what did you expect trying to be a man?/you were seeking attention by being trans and you got it so you asked for this"

[irishais]

well I got really bad news from the biopsy results and now that I've cried about it to people

SERIOUS MEDICAL TW UNDER THE CUT

they're pretty sure it's cancer bc the cells were severely abnormal beyond a tolerance I guess they look for. I get to see a gynecologic oncologist to verify. The phrase "well at least we caught it early" is not as reassuring as my doctor would have liked it to be.

[kael-writ]

so TW for female reproductive medical trauma if youve also experienced it but if youre a cis man I truly dont want you to pass by without listening to this.

If I was bleeding constantly in any other way - almost every day, for 4 months, sometimes so heavily to where I was in the ER and needed a blood transfusion, I need iron, etc - even with medication that barely reduces it, stops it for four days days maybe... if I was bleeding from my nose, or my gut, or internally, or anally, or in any other way like this, I think I would have gotten surgery right away. I think I wouldnt have even waited as long in the ER waiting room.

Just because menstruation is normal doesn't mean that a uterine fibroid causing bleeding that is NOT menstruation is normal or ok. This is not ok. I am not ok. And women who work in gynecology KNOW it is not ok and have said so and are angry and fighting for me. And all of them have a cis man as head of the department and are understaffed and exhausted and backed up with not even a first clinic visit opening for MONTHS, and are not being taken seriously in the OR.

THIS. IS. NOT. OK.

This is institutionalized sexism that puts our bodies and mental health and finances in danger. It's not ok. It needs to change, like so many things need to change.

And this is also why I am pro-choice, not to derail onto a controversial separate issue but when you stigmitize and illegalize abortion "exceptions for the life of the mother" is going to result in dead pregnant people, period the end. Because doctors will fail them. They won't take it seriously. And this HAS happened, such as to an Irish woman named Savita Hallappanavar.

I am sure there are even more examples besides fibroids and pregnancy, I wouldnt be surprised if uterine cancer patients have these issues and IUDs and god knows what else, and Ive already heard horror stories.

Im so tired, and so depressed, and overwhelmed, and Im angry.

[randomlygeneratedstring]

tw: cancer scare

My doctor found a large cyst on my ovary during a routine gynecologic checkup. She did some blood work, and it is not cancerous, yay!

I called my sister to share the good news (because I cannot share them with my mother, duh) and she was like: "And you were not in pain? You did not notice anything?"

Meh. One of my post-childbirth "joys". I am in pain most of the time, how tf was I supposed to know?

[traumasurvivorshelpingsurvivors]

Tw mentions of CSA, menstruation, and doctor stuffs, would prefer if a female would answer

Hi I'm looking for some advice. I'm 20 years old and I've been having a period for 11 years now, I just recently found out that you're suppose to see the gynecologist after you have your first period. Well I didn't because the person who sexually abused me was my dad and a 9 y/o with CSA trauma going to a gynecologist would've been bad for him. Anyways I'm triggered by doctors, and doctor appointments usually end up triggering me in all sorts of ways anyways but a gynecologist just sounds absolutely freaking terrifying to me, what advice would you offer to a CSA survivor who is long overdue for a gynecologist appointment? Also is it really that important? Like im sexually active so it probably is but I would prefer to avoid it if I can.

Obligatory disclaimer that I'm not a medical professional and this is not medical advice...

While it is recommended that you see a gynecologist around 13, it's really not dire unless there's symptoms or other issues. The main reason it's recommended is that at that age people may not know what abnormal symptoms to see a doctor about, and also because it's nice to get to know the gynecologist while nothing is wrong and build some comfort before anything awkward or uncomfortable like a pelvic exam comes up.

If you're 20 and sexually active, it's probably a good idea to get tested for STDs, and within the next year or so it would be good to get your first pap smear (it's to test for cervical cancer, and is especially important if you haven't had the HPV vaccine). It was probably not super important to see one in your teens, but at this point in your life it's pretty important to access some gynecological care (whether from an actual gynecologist or otherwise).

If male gynecologists make you uncomfortable because of your dad, you can definitely go see a female gynecologist. Depending on your area, you may also be able to get pap smears and STI testing from a nurse practitioner, or registered nurse. Would either of those options be less scary to you? Do you have a regular doctor who is less terrifying than seeing a random stranger? If yes, it may be worth asking your regular doctor if they are comfortable providing you with basic care (pap smears and STD swabs are not super technical and many general practitioners/family doctors are comfortable doing them).

You mention being sexually active. Do you have an intimate partner who could come with you and make the visits less intimidating/scary? Or a close friend? You have the right to bring someone with you. I usually bring my partner to gynecologist appointments. When anyone gave me grief during COVID I told them I needed him to help me due to a disability (anxiety is a real disability and you do not need to explain yourself).

- Mod Allison

[sleeplessxseattle]

╰ ❛ 💉 — › Jesse Spencer. male. he/him. . ╯ have you met Lucas Williams yet ? this thirty-seven year old Aquarius has been living in the seattle area  for a few days, and he makes a living as a gynecologic oncologist which is best suited for their strong, trustworthy, impulsive, and withdrawn personality. Sharp Dressed Man by ZZ Top is one of their favorite songs, and they’re written by Kimberly (this one is for you Sarah!!!), she/her. EST, none.  

Cancer TW, Death TW below the cut.  

Lucas Robert Williams

Lucas is the oldest of the Williams’ clan sons, and he has four younger brothers.  He came from an incredibly loving home where his mom hung school photos on the walls every six months, plastered her children’s art work on her fridge, and celebrated their every accomplishment.  Eve Williams poured her heart and soul into her boys.  All she ever wanted to be was a mother, and Lucas admired her for being so incredibly strong and holding it all together.  Lucas’ father is Robert Williams, who was a man who loved his family and did everything he could to support them.  Robert was a used cars salesman until he retired.  

All through school, Lucas was incredibly smart and had a knack for science.  He toyed with the idea of becoming a doctor, but didn’t think he would be able to crack it.  When he went off to college, he wasn’t sure what he would major in, but he had some time to figure it out.  Lucas did incredibly well at school his first few semesters and had a biology professor take him under his wing, which is when Lucas KNEW he could be pre-med.  

Just after midterms junior year, Eve showed up at Lucas’ campus.  He was thrilled to see his mother and be able to show her around.  It wasn’t until that evening that Eve broke the tragic news to Lucas.  She had stage four cervical cancer that had metastasized.  Her prognosis was incredibly grim.  

Lucas finished his semester, and when he went home for the holidays, he wouldn’t return for a year.  Eve passed away that spring, and Lucas helped his father ensure the younger boys we alright after her passing.  Lucas also needed time to process all that had happened.  

Lucas poured his heart and soul into his studies and began applying for medical schools.  Even though it was far from his family, he decided on University of California—San Francisco for medical school.  He felt he really needed a change of pace and an opportunity to focus on himself.  During medical school, he often wondered if he could focus on oncology, but ultimately decided it would be too painful to deal with the disease that took his mother each and every day for the rest of his life.  During rotations, Lucas found he enjoyed providing care to women while they brought new life into the world, and ultimately decided to focus on gynecological and obstetrics.  

After medical school, Lucas accepted a residency position at New York Presbyterian Hospital, which is where he met his future wife, Elena Sloan.  He was smitten from the first time he laid eyes on her.  It was what most would call a world wind courtship where a proposal followed within a few months in Time Square on New Years Eve as the ball dropped, welcoming in 2003.  That summer, the two were married in a small ceremony with his family, and their friends.  Elena is Lucas’ best friend, and the person he shares all his secrets and dreams with.  

As the time for fellowships approached, Lucas realized that he could in fact deal with cancer in his work and choose to complete an incredibly intense fellowship in gynecological oncology.  During that time, Elena and Lucas began to grow apart.  Ultimately calling it quits on their marriage.  Lucas hated the idea of failing something, especially at something as important as his marriage, but he wanted Elena to be happy.  And it didn’t seem he could make her happy anymore.  They had just grown into two different people.  

Presently, Lucas is a double board certified OBGYN and gynecological oncologist.  He has been working in New York for many years, but has remained close to Elena, even flying out to Seattle to see her more times than he can count.  He has decided to move to Seattle because the board has offered him a substantial amount of money and time to begin his dream research: advancements in cervical cancer research in honor of his late mother.  

[pmttr]

ASHLEY POMATTER

        Sometimes one bite is more than enough To know you want more of the thing you just got a taste of

⌞ʾ⁎ ⊰ jay hayden, cis-male, he/him ⊱ i think i just saw ASHLEY POMATTER walk across trafalgar square, singing to GO YOUR OWN WAY ( FLEETWOOD MAC ). you know, the THIRTY-THREE year old DOCTOR? people claim that they are just like DR. POMATTER from WAITRESS. it must be because they are ENDEARING and NEUROTIC as well… though i could be wrong. all i know for sure is that they live at BALTIMORE apartment. { mc, 19, est, they/them }⌝

hello everyone!! i’m mc & this is jim ashley!! i wanna plot w/ everyone so pls hit me up at his kiss, the riot#3477 if ur down (esp. but not limited to if u want to take up francine) :-) xoxo

TW: Cancer, Anxiety, Death, Adultery Mentions

Click here for his (slightly incomplete) backstory! (TW: Cancer, Anxiety, Death, Adultery, Sex Mention) Click here for his... statistics n’ whatnot!

so. you all are free to read my painfully long backstory (1.1k word count!!!), if you’d like, so let’s just go over the most important bits!!!

lil science geek. did basically every stereotypically nerdy school activity you can think of. thought he wanted to be an astrophysicist for nasa for the longest time

found out his mom had ovarian cancer in the latter half of his junior year of high school. obviously devastated him and was the straw that broke the camel’s back in terms of triggering his anxiety. was diagnosed with gad and panic disorder after a particularly bad breakdown in class, which put him out of school for a lil while

mom died later that calendar year. was still a lil science geek but decided that he wanted to be a doctor instead, to help people like his mom. would end up specializing in obstetrics and gynecology in his residency, but not necessarily oncology

met his wife, francine, during the aforementioned residency. would eventually move with her to the south for work

met jenna hunterson, one of his new patients, and everything went to shit (mostly in a good way...). began an affair which ended just about as soon as she had her baby — at her hospital bedside, even

told his wife about the affair, and one long, failed attempt at reconciliation later, they’re legally separated and he’s in london (details subject to change if someone wants to take francine up!!!!)... where jenna happens to be also

ok so! personality stuff!! we copy n’pasting tho lol cuz i’m getting lazy (will be referencing this, w/ some direct quotes)

pos: biiiiig sweetheart. cares a lot about other people, what they think, what they need, etc. “derives deep personal satisfaction from making others happy.” incredibly generous. dependable and takes commitments and promises seriously (except the marriage one apparently lol). very upbeat and fun to be around. seeks strong bonds. etc etc

neg: “prone to struggle w/ insecurity stemming from strong desire to be liked.” often neglectful of his own needs and “can be overly self-sacrificing.” can be passive-agressive and controlling. “tendency to need lots of positive affirmation in order to feel good about [himself].” “does not naturally possess a strong moral code.” incredibly anxiety-prone. etc etc

[gsxnz]

tw for cancer and death under the cut //personal

I’m going in for testing today to find out whether or not I have ovarian cancer. Ever since my menstrual cycle became irregular it hasn’t gone back to how it was, I’ve developed back pain, fatigue, bloating, and can’t eat properly anymore. All of these are warning flags for late term cancer, which if it does happen that I have it, and manage to get rid of it, 80% of people have a resurgence, and it’s the #1 type of gynecological cancer that kills. I’ve already been told I’m at increased risk for this type of cancer, and my family is super prone to terminal cancers, most of my aunts having passed away from cancer and my other aunt just now beating lung cancer for the second time. 

im literally still a kid, i don’t understand, im not even 20 yet and i could be facing a death sentence. 

[tumimmtxpapers]

Minimally invasive surgery for radical hysterectomy in women with cervical cancer: Korean Society of Gynecologic Oncology, Korean Society of Obstetrics and Gynecology, and Korean Society of Gynecologic Endoscopy and Minimally Invasive Surgery position statement.

Related Articles Minimally invasive surgery for radical hysterectomy in women with cervical cancer: Korean Society of Gynecologic Oncology, Korean Society of Obstetrics and Gynecology, and Korean Society of Gynecologic Endoscopy and Minimally Invasive Surgery position statement. J Gynecol Oncol. 2019 Sep;30(5):e104 Authors: Kim M, Kong TW, Kim S, Kim SC, Kim YB, Kim JW, Park JY, Suh DH, Shim SH, Lee KH, Lee SJ, Lee JK, Lim MC Abstract On the basis of emerging data and the current understanding of minimally invasive surgery (MIS) for radical hysterectomy (RH) in women with cervical cancer, the Korean Society of Gynecologic Oncology, Korean Society of Obstetrics and Gynecology, and Korean Society of Gynecologic Endoscopy and Minimally Invasive Surgery support the following recommendations: According to the recently published phase III Laparoscopic Approach to Cervical Cancer (LACC) trial-a prospective randomized clinical trial-disease-free survival and overall survival rates of MIS RH are significantly lower than those of open RH. Gynecologic oncologists should be aware of the emerging data on MIS RH for early-stage cervical cancer. The results of the LACC trial, together with institutional data, should be discussed with patients before choosing MIS RH. MIS RH should be performed for optimal candidates according to the current practice guidelines by gynecologic oncologists who are skilled at performing MIS. PMID: 31328466 [PubMed - in process] http://dlvr.it/R8wSf9

[irispublishersresearchandreviews]

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[wisdomtreecounseling-blog]

Spiritual-Psycho-social Approach Part 2 of Hope VS. Despair

From a psychosocial perspective, I am experiencing (or have reached) what psychologist Erik Erickson describes as the 8th phase of psychological development: Integrity vs. Despair (1). Per Erikson, achieving a sense of peace and hopefulness integrity in late life (or what was formerly called old age) means fully accepting oneself, making peace with your life circumstances and coming to terms with death. Taking responsibility for your life and being able to achieve satisfaction with self is essential. The inability to do this results in a feeling hopelessness and despair. (1) What I’ve learned from personal life experience and professional practice as a therapist is that our phases of psychosocial development are not static or limited to the age ranges Erickson provided, (See chart below) Depending on life experience, all of the stages can develop or may regress throughout a person’s lifetime. The crisis of Integrity vs. Despair can develop at ages 12, 16, 22, 36; 41 or 55 Any age you despair of hope signals a crisis in your life. What I’ve observed is that for myself as well as for many of my clients the ability to maintain integrity(wholeness) and not give into despair is at the core of managing depression and anxiety in a crisis. (2)

As you can see in the chart below, the outcome of each psychosocial crisis is resolved through producing a primary virtue or positive or negative character/personality process. According to Erickson,  the first virtue we develop as infants in our early childhood is hope.

As human beings our ability to trust is learned first: For example, infants learn to trust that when they cry that their needs will be met or they will learn to mistrust if they are neglected. The neglect of their need leads to despair and failure to thrive.  Throughout the human lifespan, a healthy or positive spiritual/psychosocial development occurs when each crisis is resolved in a way that produces competence or virtue.

 Each virtue or moral value is usually found within a person’s spiritual context of understanding (3). In the chart above, hope is the first virtue that develops in infancy to bring about trust. Although we can’t physically see Hope the trust or mistrust that a person has can be observed in their behavior. Similarly, we recognize that although spirituality cannot be seen with our eyes, it does and will affect our beliefs, thoughts, and feelings in a clear way. (3).

 Like most life experiences Erikson’s stages are ongoing, and they build upon each other. Initially, these steps were spread throughout the life span, and they were given age ranges for achievement. However, with a greater understanding of cultural diversity, it’s clear that these stages may be developed or learned at different times during a person’s life outside of the original time frames. For example, I have sat across from 50-year old’s who have never developed basic trust and have huge issues of shame, guilt, and inferiority that were never resolved in their childhood. Another example, many of my clients in their 40’s has never achieved intimacy and long to have a greater sense of connecting in relationships. The spiritual-bio-psycho-social approach addresses the diverse needs of the complete whole person.

 A complete whole person perspective includes mind, body, and spirit. When a person's spirituality is included then a therapist and or counselor can utilize, incorporate a holistic approach to problem-solving.  The combined model has proven to be helpful for people whose lives are overwhelmed with disappointment, depression, and despair.  Alcoholics Anonymous, Kubler-Ross (stages of grief) and Hospice are examples of how this approach is beneficial. In counseling sessions with clients, I encourage them to use their personal spiritual component of trust. For some, this is defined as faith.  I will ask a qualifying question, what do you believe, trust or have faith in that has helped you manage and cope with problems /difficulty in the past?

Therapeutic Faith

I define faith in the therapeutic sense as an invisible source of strength and wellbeing that clients connect to and draw healing influence from. Depending on the client's background this can mean a creative activity ( art, music sculpture), scripture reading, prayer or meditation. For others, it can be harmony with nature, physical exercise, yoga, mantras or remembering kind words to help them work through challenges. (3)

Incorporating the use of spiritual tools of Faith, Meditation and Prayer within the therapy session (4) can often change a client’s perspective from despair to one of hope.  Many customers find that facing their life from a hopeful or faith perspective alleviates their anger, sense of frustration, feeling despair and decreases symptoms of depression and anxiety (5).

Often this is reflected at the end of therapy during their exit interview, clients report that the circumstances in their lives may not have changed, but how they (the client) respond to and manage their situation has changed. They feel empowered by their ability to gain benefit (learn and grow) from even the worst of life experiences.

  References. McLeod, S. A. (2013). Erik Erikson. Retrieved from www.simplypsychology.org/Erik-Erikson.html2 Barker PJ, Buchanan-Barker P. London: Whurr Publishers; 2005. Spirituality and mental health breakthrough. (43)3.Spiritual Wellness: Definition of spiritual wellness4.Boscaglia N, Clarke DM, Jobling TW, Quinn MA. The contribution of spirituality and spiritual coping to anxiety and depression in women with a recent diagnosis of gynecological cancer. Int J Gynecol Cancer.2005;15:755–61.5.Hope in the Age of Anxiety: A Guide to Understanding and Strengthening Our Most Important Virtue byAnthony Scioli and Henry B. Biller (Oxford University Press). © 2009 by Oxford University Press.6.New Century Bible Hebrews 11:1