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    Contents

    Cancer can cause physical and emotional strain. It’s important to try to look after your well-being as much as possible.

    Nutrition

    Healthy food can help you cope with treatment and side effects. A dietitian can explain how to manage any special dietary needs or eating problems and choose the best foods for your situation.

    For more information about nutrition call Cancer Council 13 11 20 or you can download the booklet Nutrition and Cancer.

    Staying active

    Physical activity can reduce tiredness, improve circulation and lift mood. The right exercise for you depends on what you are used to, how you feel, and your doctor’s advice.

    For more information about exercise call Cancer Council 13 11 20 or you can download the booklet Exercise for people living with cancer.

    Complementary therapies

    Complementary therapies are designed to be used alongside conventional medical treatments. Therapies such as massage, relaxation and acupuncture can increase your sense of control, decrease stress and anxiety, and improve your mood. Let your doctor know about any therapies you are using or thinking about trying, as some may not be safe or evidence-based.

    For more information about complementary therapies call Cancer Council 13 11 20 or you can download the booklet Understanding Complementary Therapies.

    Work and money

    Cancer can change your financial situation, especially if you have extra medical expenses or need to stop working. Getting professional financial advice and talking to your employer can give you peace of mind. You can also check with a social worker or Cancer Council whether any financial assistance is available to you.

    For more information about work and money call Cancer Council 13 11 20 or you can download our booklets Cancer and Your Finances and Cancer, Work & You.

    Relationships

    Having cancer can affect your relationships with family, friends and colleagues in different ways. Cancer is stressful, tiring and upsetting, and this may strain relationships. It may also result in positive changes to your values, priorities or outlook on life. Give yourself time to adjust to what’s happening, and do the same for those around you. It may help to discuss your feelings with each other.

    For more information call Cancer Council 13 11 20 or you can download our booklet Emotions and Cancer.

    Sexuality

    Cancer can affect your sexuality in physical and emotional ways. The impact of these changes depends on many factors, such as treatment and side effects, your self-confidence, and if you have a partner. Although sexual intercourse may not always be possible, closeness and sharing can still be part of your relationship.

    For more information on sexuality call Cancer Council 13 11 20 or you can download our booklet Sexuality, Intimacy and Cancer.

    Contraception and fertility

    If you can have sex, you may need to use certain types of contraception to protect your partner or avoid pregnancy for a time. Your doctor will explain what precautions to take. They will also tell you if treatment will affect your fertility permanently or temporarily. If having children is important to you, discuss the options with your doctor before starting treatment.

    For more information on sexuality, intimacy and fertility call Cancer Council 13 11 20 or download the booklets Sexuality, Intimacy and Cancer, Fertility and Cancer and Emotions and Cancer.

    Life after melanoma

    For most people, the cancer experience doesn’t end on the last day of treatment. Life after cancer treatment can present its own challenges. You may have mixed feelings when treatment ends, and worry that every ache and pain means the cancer is coming back.

    Some people say that they feel pressure to return to “normal life”. It is important to allow yourself time to adjust to the physical and emotional changes, and establish a new daily routine at your own pace. Your family and friends may also need time to adjust.

    Cancer Council 13 11 20 can help you connect with other people who have had cancer, and provide you with information about the emotional and practical aspects of living well after cancer.

    For more information you can download our booklet Living Well After Cancer.

    Dealing with feelings of sadness

    If you have continued feelings of sadness, have trouble getting up in the morning or have lost motivation to do things that previously gave you pleasure, you may be experiencing depression. This is quite common among people who have had cancer.

    Talk to your GP as counselling or medication – even for a short time – may help. Some people are able to get a Medicare rebate for sessions with a psychologist. Ask your doctor if you are eligible. Cancer Council SA has a free counselling service which offers you an opportunity to discuss your cancer experience and its impact on your life. Call Cancer Council 13 11 20 for more information.

    The organisation beyondblue has information about coping with depression and anxiety. Go to beyondblue or call 1300 224 636 to order a fact sheet. 

    Follow-up appointments

    After treatment ends, you will need regular skin checks to confirm that the melanoma hasn’t come back or spread.

    The follow-up plan will vary depending on the stage, and more frequent visits are recommended for people with advanced melanoma. People who had a stage I melanoma need to see their doctor for yearly skin checks, while people with stage II melanoma will need follow-up every 6 months for several years. People with stage III melanoma will be monitored every 3 months for two years. Your doctor can give you more details of your follow-up plan.

    When a follow-up appointment or test is approaching, many people may feel anxious. Talk to your treatment team or call Cancer Council 13 11 20 if you are finding it hard to manage this anxiety.

    Between follow-up appointments, let your doctor know immediately of any symptoms or health problems.

    UV index and sun protection times

    The UV Index shows the intensity of the sun’s UV radiation using a scale that begins at 0 and has no upper limit. An index of 3 or above indicates that UV levels are high enough to damage skin, so sun protection is recommended.

    The daily sun protection times tell you the times of the day the UV Index levels are forecast to be 3 or higher. The sun protection times vary according to your location and will change throughout the year.

    In general, during summer in Australia, all states experience long periods during the day when the UV Index is 3 or above. In late autumn and winter in southern Australia, the UV Index may fall below 3 and sun protection is not necessary.

    Sun exposure and vitamin D

    UV radiation from the sun causes skin cancer, but it is also the best source of vitamin D, which is needed to develop and maintain healthy bones. The amount of sunlight you need for vitamin D depends on several factors, including the UV level, your skin type and your lifestyle.

    UV levels vary across Australia, so the time you need to spend in the sun will be determined by your location, the season and the time of day, cloud coverage and the environment.

    The body can only absorb a limited amount of vitamin D at a time. Getting more sun than recommended does not increase your vitamin D levels, but it does increase your skin cancer risk. For most people, just 15–20 minutes of incidental sun exposure, such as walking from the office to get lunch or hanging out the washing, is enough to produce the required vitamin D level.

    Getting too much UV is not recommended, even for people with a vitamin D deficiency. After a melanoma diagnosis, if you are concerned about vitamin D deficiency talk to your doctor about the best ways to maintain vitamin D while reducing your risk of further melanomas. Your doctor may recommend taking a supplement.

    What if melanoma returns?

    In the vast majority of cases, early melanoma will not come back (recur) after treatment. The risk of the melanoma coming back after treatment is higher for people with regional melanoma. Recurrence can occur at the site where the melanoma was removed (locally); in the lymph nodes; or further away in other body sites, like the lung, brain or liver.

    People who have had one melanoma have about five times the risk of developing a new melanoma compared with the average person their age. It is important to be familiar with your skin, examine it for changes, and visit your doctor for regular check-ups.

    During follow-up appointments, your doctor will examine the melanoma site and lymph nodes for any spread. Your doctor will also check the rest of your skin for other possible melanomas.

    If the cancer returns, your doctor will discuss the treatment options with you. These will depend on where the cancer has recurred, as well as the stage and grade of the cancer. You may be offered immunotherapy, targeted therapy or the option to join a clinical trial.

    This website page was last reviewed and updated November 2019.

    Information reviewed by: : A/Prof Victoria Atkinson, Senior Staff Specialist, Princess Alexandra Hospital, Visiting Medical Oncologist, Greenslopes Private Hospital, and The University of Queensland Clinical School of Medicine, QLD; Adjunct Prof John Kelly AM, Consultant Dermatologist, Victorian Melanoma Service, and Department of Medicine at Alfred Health, Monash University, VIC; Dr Alex Chamberlain, Dermatologist, Glenferrie Dermatology, Victorian Melanoma Service and Monash Univeristy, VIC; Alison Button-Sloan, Melanoma Patients Australia; Peter Cagney, Consumer; Prof Brendon J Coventry, Associate Professor of Surgery, The University of Adelaide, Surgical Oncologist, Royal Adelaide Hospital, and Research Director, Australian Melanoma Research Foundation, SA; Dr David Gyorki, Consultant Surgical Oncologist, Peter MacCallum Cancer Centre, VIC; Liz King, Skin Cancer Prevention Manager, Cancer Council NSW; Shannon Jones, SunSmart Health Professionals Coordinator, Cancer Council Victoria; Caitriona Nienaber, 13 11 20 Consultant, Cancer Council WA; Prof Richard Scolyer, Senior Staff Specialist, Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Co-Medical Director, Melanoma Institute Australia and Clinical Professor, The University of Sydney, NSW; Heather Walker, Chair, Cancer Council National Skin Cancer Committee, Cancer Council Australia.

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