Vaginal and Vulvar Cancer: Care Instructions

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Your Care Instructions

Vaginal and vulvar cancer occur when abnormal cells grow out of control in the vagina or the vulva. The vagina, also called the birth canal, is the tube that goes from the uterus to the outside of the body. The vulva includes the lips of the vagina, the sensitive tissue between those lips called the clitoris, and the opening of the vagina.

Cancer of the vagina or vulva is often curable when it is found early. Treatment may include surgery to remove part or all of the vulva or vagina. It may also include radiation, which uses high-energy rays to kill cancer cells, or chemotherapy, which uses medicines.

Being treated for cancer can weaken your body, and you may feel very tired. Home treatment and certain medicines can relieve some of your symptoms and help you feel better.

When you find out that you have cancer, you may feel many emotions and may need some help coping. Seek out family, friends, and counsellors for support. You also can do things at home to make yourself feel better while you go through treatment. Call the Canadian Cancer Society (1-888-939-3333) or visit its website at www.cancer.ca for more information.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • Take your medicines exactly as prescribed. Call your doctor or nurse call line if you have any problems with your medicine. You may get medicine for nausea and vomiting if you have these side effects.
  • Eat healthy food. If you do not feel like eating, try to eat food that has protein and extra calories to keep up your strength and prevent weight loss. Drink liquid meal replacements for extra calories and protein. Try to eat your main meal early.
  • Get some physical activity every day, but do not get too tired. Keep doing the hobbies you enjoy as your energy allows.
  • Take steps to control your stress and workload. Learn relaxation techniques.
    • Share your feelings. Stress and tension affect our emotions. By expressing your feelings to others, you may be able to understand and cope with them.
    • Consider joining a support group. Talking about a problem with your spouse, a good friend, or other people with similar problems is a good way to reduce tension and stress.
    • Express yourself through art. Try writing, crafts, dance, or art to relieve stress. Some dance, writing, or art groups may be available just for people who have cancer.
    • Be kind to your body and mind. Getting enough sleep, eating a healthy diet, and taking time to do things you enjoy can contribute to an overall feeling of balance in your life and can help reduce stress.
    • Get help if you need it. Discuss your concerns with your doctor, counsellor, or other health professional.
  • If you are vomiting or have diarrhea:
    • Drink plenty of fluids (enough so that your urine is light yellow or clear like water) to prevent dehydration. Choose water and other caffeine-free clear liquids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink.
    • When you are able to eat, try clear soups, mild foods, and liquids until all symptoms are gone for 12 to 48 hours. Other good choices include dry toast, crackers, cooked cereal, and gelatin dessert, such as Jell-O.
  • If you have not already done so, prepare an advance care plan. An advance care plan provides instructions to your doctor and family members about what kind of care you want if you become unable to speak or express yourself.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

  • You passed out (lost consciousness).

Call your doctor or nurse call line now or seek immediate medical care if:

  • You have severe vaginal bleeding. You are passing blood clots and soaking through a pad each hour for 2 or more hours.
  • You are dizzy or light-headed, or you feel like you may faint.
  • You have symptoms of a urinary infection, which can include:
    • You have blood or pus in your urine.
    • You have pain in your back just below your rib cage. This is called flank pain.
    • You have a fever, chills, or body aches.
    • It hurts to urinate.
    • You have groin or belly pain.
  • You have nausea or vomiting.
  • Your pain is not controlled by medicine.

Watch closely for changes in your health, and be sure to contact your doctor or nurse call line if:

  • You are not able to eat well and are losing weight.
  • You feel more tired than usual.
  • You feel very sad or anxious, or both.
  • Your symptoms do not get better, or they get worse.

Where can you learn more?

Go to http://www.healthwise.net/ed

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