Forum Discussion

Rose1988's avatar
Rose1988
Member
5 months ago

Endocrine Therapy and Pelvic Floor

Hi all

I had one dose of goserelin 2 months ago and within a week of reducing oestrogen levels, my pelvic floor had given way!! I had my second baby months ago so it was always weak. Gynaecologist said my uterus has come way down like a prolapse and a hysterectomy will relieve my symptoms. 

I went off the goserelin and my pelvic floor return to normal. Oestrogen is very important for the strength of the pelvic floor. 
My question is, has anyone had pelvic floor issues when they went on endocrine therapy and what did u do to relive it all? 

coping
side-effects

2 Replies

  • Tri's avatar
    Tri
    Member
    5 months ago

    HiRose1988​ I am sorry you’ve had a diagnosis and it sounds like you’re also juggling plenty of other things (new mum) and all: sending you big hugs.
    In a nutshell yes, since starting the endocrine therapy (in my case Aromotase Inhibitor “Letrozole”) I have experienced changes. Even though I am post menopausal and my children were born 30 years ago, the changes have been so much more pronounced, compared to the period immediately prior to breast cancer and as far as I understand, it’s related to the unwelcome side effects of taking oestrogen out of my system. Having said that, my breast cancer was triple positive and I have decided to persevere with the endocrine therapy as a preventative measure. 
    Try this BCNA private group too

    Group: Let's talk: vaginas, menopause & me | BCNA Online Network

    The Jean Hailes centre mentioned by Mez is an excellent centre with dedicated health professionals and their website is a useful resource. 
    It’s worth asking for a referral to a gynaecologist and physiotherapist with experience in post breast cancer treatment.
    https://www.jeanhailes.org.au/health-a-z/vulva-vagina/pelvic-organ-prolapse?gad_source=1&gad_campaignid=22451848454&gbraid=0AAAAADL6aYNyJpHdxOgECb9nHRrAcI63c

    In my case ultimately I had surgery for prolapse repair and it also ended up being a hysterectomy, which has helped considerably! But you can try non-surgical measures like a pessary as well.

    Sending you lots of positive energy. ☺️

     

  • Mez_BCNA's avatar
    Mez_BCNA
    Community Manager
    5 months ago

    Hi Rose1988​ 

    Thankyou for starting the conversation!

    While we wait for others to respond, we thought we would share information on women's health supports if you find this helpful. Looks like you have a great gynae as well which is good, perhaps additional supports in managing pelvic floor complications may help.

    We can't see where you are located however in Melbourne (for example) there are places such as 'Jean Hailes' (If you are not located in Melbourne they still have great online resources to access).

     

    You can also check out BCNA's Find services and support in your area