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From the day you were diagnosed with cancer, you’ve probably looked forward to getting back to your “normal” life. However, it might take some time to get back into your regular routine after your treatment is done. It’s important to give yourself and your loved ones time to adjust. Here we discuss some of the challenges you may face after your cancer treatment ends.

Will I need to see my healthcare provider for follow-up appointments?

Yes. After your treatment ends, you’ll need to have regular follow-up appointments. Some cancer patients are initially followed by their Oncologist after their treatments end others are transitioned back to their primary healthcare provider.  The Oncologist will send the primary healthcare provider an overview of the patient’s cancer and their treatment as well as a follow-up care plan.  The patient will also receive a follow-up care plan.  The follow-up care plan outlines how often the patient should see their primary care provider for the first 5 years, tests they will need, signs and symptoms to watch for,  information about living well after cancer and support services and resources.  If needed, the primary care provider can refer the patient back to the treating oncologist.

Visiting your healthcare provider for a follow-up appointment may make you feel worried and upset. You may be afraid your healthcare provider will tell you that your cancer has returned. These feelings are normal and should lessen over time. You may find it helpful to bring a friend or family member with you to provide comfort and support. However, part of maintaining your health after treatment is being aware of the signs that could mean your cancer has returned. If you don’t know these signs, it’s easy to assume that every change in your body means that your cancer has returned. Ask your healthcare provider to explain the specific signs you should watch for. They can provide information so you can keep an eye out for problems without living in constant fear that your cancer has returned. Also, it is still important to get tested as needed for other forms of cancer. Your healthcare provider can tell you what tests, if any, are necessary.

Should I make any changes to my diet after treatment?

During your cancer treatment, your healthcare provider may have recommended increasing the amount of protein and calories in your diet. After cancer treatment ends, you can get back to a more balanced diet. Eat plenty of fruits, vegetables and whole grains, and a moderate amount of low-fat meat and dairy products. Limit the fat and sugar in your diet. A healthy diet will help your body get better after cancer treatment. It’s also important for you to get regular exercise and plenty of sleep.

You may need to ease yourself back into a mealtime routine. Start with simple foods and familiar recipes. If you cook for yourself or your family, you can save some effort by making enough food for two or three meals and freezing the extra portions for future use.

Most eating-related side effects will go away after your cancer treatment ends. However, some people continue to have problems such as lack of appetite, weight loss or nausea. If you experience side effects that don’t go away after treatment, contact your healthcare provider. They can help you deal with eating-related problems.

What if I have sexual problems after treatment?

If you experience sexual problems after your cancer treatment, you’re not alone. Many people have low desire for sex or feel anxious about how sex will feel after they’ve been treated for cancer. If your treatment has changed your physical appearance, you may feel uncomfortable with these changes or worried about your partner’s reaction. In this situation, it’s important to be honest with your partner about your feelings. You may find it helpful to ask for advice from your healthcare provider or a counselor. Also, remember that sex is only one of many ways that you can be close and intimate with your partner.

Certain side effects of treatment can make sexual activity difficult. For example, some cancer drugs can cause vaginal dryness in women, even after they stop taking the drugs. Some men experience impotence after surgery for prostate cancer. Your healthcare provider can usually suggest ways to deal with sexual side effects. Try not to feel embarrassed about asking your healthcare provider for help.

Can I return to work after treatment?

For some people, returning to work is a priority after cancer treatment ends. Others choose not to go back to their jobs or do not feel physically able to return to work. If you decide to return to work, keep in mind that it may take a while to adjust.

Some of your work relationships may have changed. For example, your employer may not know whether you’re able to perform the same duties that you did before your cancer treatment. Some of your coworkers may seem uncomfortable around you at first. Deal with this situation in a way that feels right to you. You may prefer not to discuss your illness with your coworkers, or you may want to tell them about your experiences and answer their questions. The choice is yours.

How will my loved ones feel after my treatment?

Even after your cancer treatment ends, your loved ones may go through a range of emotions — everything from relief to anxiety. Children may feel especially afraid that your cancer will return and will need reassurance. If family members seem uncomfortable talking about your illness and treatment, you may want to start a conversation by asking them open‑ended questions. For example, ask, “What did you think was the worst part when I had cancer?” rather than simply “Are you all right?”

How will I feel emotionally after treatment?

Although having a positive attitude is an important part of surviving cancer, don’t expect yourself to be upbeat all the time. Allow yourself time to heal emotionally as well as physically. Sometimes you may feel angry about having cancer or sad about the changes your treatment has caused. Feelings like these are normal. However, if you have negative feelings that keep you from enjoying your life and these feelings don’t go away, it’s important for you to get help. Your healthcare provider may be able to suggest treatment options to help you deal with emotional problems. Talking openly with a loved one, a counselor or a spiritual advisor may also be helpful. A support group for cancer survivors can be a good place to express your emotions and get help from people who understand what you’re going through.

FOR MORE INFORMATION

Nova Scotia Health Authority Cancer Care Program
Toll-free: 1-866-599-2267
http://www.nshealth.ca/cancer-care

Prince Edward Island Patient Navigation Program
Toll Free:  1-877-511-5177
https://www.princeedwardisland.ca/en/information/health-pei/cancer-patient-navigation-program

Canadian Cancer Society
www.cancer.ca