VACO

Psychological and Physical Support for Vulval Cancer

 

Being diagnosed with vulval cancer is a shock to the system - both physically and more so psychologically. Living with this is very difficult and can also be very soul destroying experience!

 

At first, accepting that fact seems like an impossible task. Your mind races with thousands of thoughts - the biggest is "Why Me?" and the stark reality is that not many if none, depending on where you live appear to have any knowledge of this cancer, including yourself as this would have come as such a huge shock to find out about this cancer type and then realise you are in fact in a minority and there is not as much information about vulval cancer as there are about other cancer types, but a lot more than was available to me nearly 7 years ago when I was diagnosed!

Apart from having to cope with the physical and medical challenges, there is the huge issue of Body Image change for Ladies with vulval cancer, plus facing additional worries, feelings, and concerns about their femininity and how this devastating surgery can affect their lives, and this can be long term and can make life very difficult. Also, how this can and often does affect your intimate relationship with your partner, but this if approached correctly can be worked through.

 

Help is needed in coping with the psychological problems of this disease. Don't be afraid to ask for or seek this help from your health professional and a good support group is an excellent source of support for Ladies as all these Ladies know exactly how you are feeling after this diagnosis.

Dealing and coping with the psychological burden of having vulva cancer becomes part of the patient's treatment plan. The support of your health care team Doctors, Specialist Nurses, Macmillan nurses, psychologist,
support groups, patient networks and family and close friends can help women feel less isolated, distressed and can improve the quality of their lives. Cancer support groups provide an environment where cancer patients can talk about living with cancer with others who may be having or have been through similar experiences.

Cancer patients, and those who care about them, face many issues, problems and challenges they had never imagined. Coping with these problems is easier when they have helpful information at hand, a reliable network of support services.

Ladies will worry about caring for their family, or just keeping up daily activities. There are the additional worries about tests, treatments, hospital stays, and the normal day to day living we have always taken for granted.

 

You need to ask for help from your health team.  Enlist the help of the doctor, nurses, psychologists, and Gynaecological Oncologist Specialist nurses. Macmillan Nurses who can all help to help answer questions about treatment recovery, working, and daily activities.

 

It is always a good idea if you think about any question you would like to ask one of your health team members to write them all down so you do not forget these when you have your appointment, as we all know its sods law once we get into the Consultation room, our brains sadly close down and this can end up with us walking out of the appointment with no answers.

 

IN fact a good idea is to place the questions on the table and ask your Consultant to work through all your questions with you.

 

It is also a good idea to take someone with you so if you cannot fully understand everything which is being said to you, your partner or friend will be able to remember the Consultation much more than you which will be a great encouragement to you when they are able to remember what was discussed during your Consultation, another good tip is to ask your partner or friend to note the answers as this will again help you to understand what was said during your Consultation.

 

You may also need to speak to someone about your own personal feelings which we Ladies sometimes prefer not to discuss with our partners as we Ladies always have this protective side inside us.  We feel the need to protect our loved ones from the pain we are going through as they also cannot bear to see our loved ones hurting and unable to cope with what is happening in your life at that time.

 

A lot of ladies will not share their inner most thoughts on what is really happening to them, but would  rather share this with someone who fully understands how they are feeling and what is the normal reaction to this diagnosis and what helps to make the recovery a much easier one, with the  least possible stress.

 

Personal relationships are so important and as a couple you may find some counselling to be very beneficial to you both and also give you a much better understanding of each others feeling and how this has affected both of you.

 

Don't forget to include friends and relatives, especially those who have had personal experience with cancer, within your support team.

Find a local cancer support group and meet with others who are facing the same or similar problems. Cancer patients often get together in support groups, where they can share what they have learned about cancer, its treatment, and about coping with the disease.

 

It is important to remember that each patient is different. Treatments and ways of dealing with cancer that work for one person may not be right for another - even if both have the same kind of cancer. It is always a good idea to discuss the advice of friends and family members with the doctor.

Your Specialist nurse at the hospital should be able to suggest groups that help with rehabilitation, psychological support, financial help which is available from the specialist trained Macmillan benefits advisors and your nurse should be able to put you into contact with them.

 

VACO will be more than happy to help you through this long,  tiring and rollercoaster journey and help and share advise on how to cope, live and survive vulval cancer!

 

You can do this and you can succeed with the correct psychological and physical support.

 

 

 


Psychological Problems


The psychological trauma after a diagnosis of vulval cancer and the extensive surgery, along with any other vulval surgery, can usually have a devastating affect on your life.

You should be offered support from a Specialist Counsellor to help you come to terms with your surgery. If you get the chance for an appointment prior to the surgery, this may well prove to be extremely beneficial to you, this in fact, should be offered to you.

 

If an appointment cannot be arranged prior to surgery, ask to be referred to see the Specialist Counsellor as soon as possible, preferable when you are feeling well enough to go for the appointment. It may be worth asking about a home visit if things get really difficult for you in those early days. This should be able to be arranged for you.

 

It is not always easy to speak to a stranger about the many sensitive questions which will be going through your mind after this surgery, even to a Specialist Counsellor, please, don’t give up if the first couple of appointments don’t go as well as you would have expected them too.

Such a major body image change and function is very traumatic and difficult to come to terms with, but with patience and learning to trust your Specialist Counsellor, you will begin to feel confident enough to discuss these very sensitive issues with your counsellor.

 

If you are in contact with another Lady or Ladies, and don’t think you are not doing as well as they are, please don’t worry about this, this is normal and you will start to heal in your own time and not theirs, nor the time a Counsellor may suggest as these issues can take quite a while to work through and one which you will feel happy and confident about. If you don't feel ready to be discharged when this is suggested speak to your Counsellor and let them know how you feel about this.

 

It is also very therapeutic to speak to other Ladies who have been through exactly the same as you have, as this kind of support may well prove to be the most beneficial as we all know from life’s experience in general, speaking to the Ladies in our case, who have personal experience is usually the best one to go for, but also do remember the Specialist help may still be needed by Ladies.

 

It does in time, your time, get easier and remember; no two ladies will heal at the same time as each other so please don’t give your self a hard time if your recovery seems to be slower than the other ladies you are in touch with.


Don’t feel rushed by no one into working through the issues you have, these are such major issues and need to be handled slowly and with extreme care and sensitivity.

 

It is a good idea to write all your problems, fears and doubts you are feeling down in between your appointments, from my own experience not every appointment will go as expected due to all the emotional trauma you have been through, and may still have to work through so if you do end up in tears during long periods of some of your sessions, don’t worry about this, it is normal to react in this way and your Counseller will also understand this.

 

Having all your questions wrote down is one way to be sure they can all be worked through by your Specialist Counsellor and yourself.

 

There will be times when you have so many issues going around in your head you may think you will never get well again. I can look back and remember this part of my recovery well, at one point decided to write down everything going around my head as at least this way I could try to put them all into perspective and speak to my Counsellor about them. It also helps to prioritise them this way, you can work through the most stressful issues first which will help you to feel a lot better and will also help your Counsellor to understand exactly what issues she needs to help you deal with first.

 

I decided to put them in a head shot and you will see from the links below exactly how I was feeling and how messed up my head felt and what was the most distressing to me at that time in my life. The first one was done in 2002 which you can see looks all cluttered up which is exactly how my mind felt at that time, along with a lot of issues, all of which were on my mind and I was struggling to work through them all.

 

The largest words are the ones which were the most  distressing at the time, and working down to the smaller ones which indicates they were issues which I had decided to put on hold as I felt were not in my grasp at that time, so I decided to deal with the ones which were causing me the most stress and trauma.

The link for the first one is…

http://www.vaco.co.uk/vacofrontpage/HEAD SHOT 1.pdf

The second head shot was done in 2003 and you can see it looks a lot more oraganised and controlled as this was how I was feeling at this time, and I think you will all be able to relate to all of these feelings, and maybe more!!!

 

The link for the second one is….

 

http://www.vaco.co.uk/vacofrontpage/Head_Shot_2_Copyright_PDF.pdf

If you find these head shots to be useful, please email me at vacocare@yahoo.co.uk
where I will be happy to send you 2 blank ones over so if you felt like you would like to fill in your own thoughts and feelings, which may prrof to be very useful for you to take along to your Counselling sessions.

 

These worked for me, and may also work for you.


Should you feel you would like to use these headshots for the patients benefits, please contact me on vacouk@yahoo.com   and I will arrange to send the templates over to you.

 

Please do not use these headshots in any way without the prior permission of the owner, which is myself. VACO has copyright for both of these documents.  I trust you will respect this.

Thank You


Psychosexual Impact

 

This is one of he best documents I have read in the last 6 years on the Psychosexual Impact of Gynaecological Malignancy. The Authors seem to have a great understanding of the affects this surgery has on Ladies who been through such surgery and do seem to have a great understanding of these affects and the full impact this surgery has on ladies.

Quote:

Despite being common, the impact of gynaecological malignancies on sexual functioning has been largely ignored. Many factors contribute  to psychosexual morbidity in these patients, including premorbid sexual function and the physical and psychological effects of the disease and treatment(s).This review aims to highlight the factors that contribute to psychosexual morbidity and to discuss the management options that are available.

The whole document can be read below:

http://www.vaco.co.uk/vacofrontpage/psychosexual impact of gynae cancer.pdf