Cancer treatment-induced menopause: Meaning for breast and gynecological cancer survivors

Christine S. Davis, Jeanie E. Zinkland, Margaret I. Fitch

Abstract


Many cancer survivors are faced with irreversible changes resulting from cancer treatment. One such change some women face after cancer is treatment-induced menopause. Eight women (four with breast and four with gynecological cancers) were interviewed to explore the impact of treatment-induced menopause on their lives. Results indicated that participants’ understanding and coping with menopause occurred within the larger context of the total cancer experience. For some of the women, menopause was not a significant problem; for others, the symptoms caused major distress and were a continuing reminder of the losses suffered due to cancer. Important concerns for all participants were: taking and keeping control, the desire to return to “normal†after cancer, and maintaining a coherent sense of self. Strong statements were also made about the power of knowing and the power of support in coping with treatment-induced menopause. Findings are discussed with implications for nursing practice.

Key words: treatment-induced menopause, cancer, survivorship, women’s health, psychosocial support


Full Text:

PDF

References


Anderson, B. (1985). Sexual functioning morbidity among cancer

survivors: Current status and future research directions. Cancer,

, 683-691.

Anderson, B., & Hochler, N.F. (1983). Psychosexual adjustment after

vulvar surgery. Obstetrical Gynecology, 62, 457-462.

Atunes, C.M.F., Stoley, P.D., Rosenheim, N., Davies, J., Tonascia, J.,

Brown, C., Burnett, L., Rutledge, A., Pokenpner, M., & Garcia, R.

(1979). Endometrial cancer and estrogen use. New England

Journal of Medicine, 300-309.

Averette, H.E., Boike, G.M., & Jareel, M.A. (1990). Effects of cancer

chemotherapy on gonadal function and reproductive capacity. CA

- A Cancer Journal for Clinicians, 40(4),199-209.

Bachmann, G.A. (1994). Nonhormonal alternatives for the

management of early menopause in younger women with breast

cancer. Journal of the National Cancer Institute Monograph,

,161-167.

Bianco, A.R., Del Mastro, L., Gallo, C., Perrone, F., Matano, E.,

Pagliarulo, C., & DePlacido, S. (1991). Prognostic role of

amenorrhea induced by adjuvant chemotherapy in premenopausal

patients with early breast cancer. British Journal of Cancer, 63,

-803.

Brener, P.F. (1988). The menopausal syndrome. Obstetrical

Gynecology, 72, 6S-11S.

Canney, P.A., & Hatton, M.Q.P. (1994). The prevalence of

menopausal symptoms in 108 patients successfully treated for

breast cancer. Clinical Oncology, 6, 297-299.

Capone, M.A., Good, R.S., Westie, K.S., & Jacobson, A.F. (1980).

Psychosocial rehabilitation of gynecologic oncology patients.

Archives of Physical Medical Rehabilitation, 61, 128-132.

Carter, B.J. (1993). Long-term survivors of breast cancer: A

qualitative study. Cancer Nursing, 16(5), 354-361.

Cella, D.F. (1987). Cancer survival: Psychosocial and public issues.

Cancer Investigation, 5, 59-67.

Cella, D.F., & Tross, S. (1986). Psychological adjustment to survival

from Hodgkin’s disease. Journal of Consulting Clinical

Psychology, 54, 616-622.

Chapman, R.M., Sutcliffe, S.B., & Malpas, J.S. (1979). Cytotoxicinduced

ovarian failure in women with Hodgkin’s disease: I.

Hormone function. Journal of the American Medical

Association, 242, 1877-1881.

Collaizzi, P.F. (1978). Psychological research as the phenomenologist

views it. In R.S. Valle & M. King (Eds.), Existential

phenomenological alternatives for psychology (pp. 48-71).

Oxford University Press: New York.

Couzi, R.J., Helzlsouer, K.J., & Fetting, J.H. (1995). Prevalence of

menopausal symptoms among women with a history of breast

cancer and attitudes toward estrogen replacement therapy. Journal

of Clinical Oncology, 13, 2737-2744.

Dewhurst, C.J. (1976). Frequency and severity of menopausal symptoms.

In S. Campbell (Ed.), The management of the menopause and postmenopause

years (pp. 25-27). Lancaster, England: MTP Press Ltd.

Fenlon, D. (1995). Menopause: A problem for breast cancer patients.

European Journal of Cancer Care, 4, 166-172.

Hubner, M.K. (1989). Cancer and infertility: Longing for life.

Journal of Psychosocial Oncology, 7(4), 1-19.

Jamison, K.R., Wellisch, D.K., & Pasnau, R.O. (1978). Psychosocial

aspects of mastectomy: I. The woman’s perspective. American

Journal of Psychiatry, 135(4), 432-436.

Madsen, B.L., Giudice, L., & Donaldson, S.S. (1995). Radiationinduced

premature menopause: A misconception. International

Journal of Radiation Oncology, Biology Physics. 32, 1461-1464.

McPhail, G. (1999). Menopause as an issue for women with breast

cancer. Cancer Nursing, 22, 164-171.

Moadel, A.B., Ostroff, J.S., Lesko, L.M., & Bajorunas, D.R. (1995).

Psychosexual adjustment among women receiving hormone

replacement therapy for premature menopause following cancer

treatment. Psycho-Oncology, 4, 273-282.

Pederson, L.M., & Valanis, B.G. (1988). The effects of breast cancer

on the family: A review of literature. Journal of Psychosocial

Oncology, 6, 95-188.

Pritchard, K.I. (1996). 19th annual San Antonio breast cancer

symposium. Current Oncology, 3(4), 252-254.

Psarakis, S., Devlin, M.C., & Beckerson, L. (1990). Women and

menopause: A contemporary perspective. SIECCAN Journal,

(2), 21-26.

Saba, D., Brown, J., & Smith, C. (1986). The male role and

mastectomy: Support groups and men’s adjustment. Journal of

Psychosocial Oncology, 4, 19-31.

Schiam, W.S. (1985). Breast cancer surgeries and psychosexual

sequelae: Implications for remediation. Seminars in Oncology

Nursing, 1(3), 200-205.

Shapiro, S.H., Angus, L.E., & Davis, C.S. (1997). Identity and

meaning in the experience of cancer: Three narrative themes.

Journal of Health Psychology, 2(4), 534-549.

Shover, L.R. (1988). Sexuality and cancer: For the woman who has

cancer and her partner. New York: American Cancer Society, Inc.

Snyder, G.M., Sielsch, E.C., & Reville, B. (1998). The controversy of

hormone-replacement therapy in breast cancer survivors.

Oncology Nursing Forum. 25, 699-706.

Tamlyn-Leaman, K. (1995). Adult cancer survivorship: issues and

challenges. Canadian Oncology Nursing Journal. 5(2), 45-47.

Tross, S., Holland, J.C., Bosl, B., & Geller, N. (1984). A controlled study

of psychosocial sequelae in cured survivors of testicular neoplasms.

Proceedings of the American Society for Clinical Oncology, 3, 74.

Wortman, C.B. (1984). Social support and the cancer patient: Conceptual

and methodologic issues. Cancer, 53(10) (Supp.), 2339-2360.


Refbacks

  • There are currently no refbacks.