I thought I did everything right, but my ovarian cancer still came back

Cancer is a wake-up call. I answered the question in the fall of 2018, when I received the shocking diagnosis of ovarian cancer at the age of 45. I was stage 2a and had successful debulking surgery and chemotherapy in the spring of 2019. Then I set out to change almost everything! I moved from the East Coast to the Midwest to be closer to my friends and family. I started and ended a relationship, changed jobs, and started Pilates and TRX classes. I finally renovated my house, which was long overdue. I took the trips I had always dreamed of. I even organized a month-long 50th birthday party on the shores of Lake Michigan.

And it wasn’t just Instagram-worthy moments. After my cancer, I overcame my fear of failure and started writing. I took classes to learn playwriting and performed at public storytelling events. I created a 12-step program for adult children from alcoholics and dysfunctional families. I wanted to break patterns that had haunted me since childhood.

See, I had seen the statistics. I didn’t like the term “progression-free survival” – I thought remission still existed. But I had seen that the median was 18.4 months for the cancer to stop progressing after diagnosis. I had had 1,800 days. I was a unicorn and determined not to take a moment for granted. As they say, most people overestimate what they can achieve in a year and underestimate what they can achieve in ten years. I was living my best life. I hung up the phone and hung up on Krebs.

Annie, 2019

In March 2024 I felt something was wrong. This time I was determined not to miss the signs. I noticed a kind of phantom pain coming and going on my left side. Every time I walked past a mirror, I stopped to examine my midsection. The main blood test for a tumor marker linked to ovarian cancer is called CA125. I had received a 4 or 5 (essentially undetectable) since the first treatment. I messaged my care team and told them I was worried and couldn’t shake the fear that I was missing early signs of bloating. In April my CA125 was 7. I told myself to stop fixating. Surely the cancer had made a mistake.

I was cautiously optimistic going into the July blood draw. It was the weekend of a music festival. Friends who I had started taking these bucket list trips with had flown into the city. Before taking the blood, I asked my medical team: What number should we care about? They said as long as I stayed under 12 we wouldn’t raise the alarm. I got a 14. I was sure this was my last music festival.

Annie, at a music festival, 2024.

Then I was scheduled for a CT scan. The results were completely inconclusive. My joy was short-lived. I understood what my nurse meant when she said, “Sometimes these things take a while to develop.” I lived in this uncomfortable state of “indecision” for a few months. Every conversation was difficult to navigate. How much should I share? Would I add unnecessary stress to their lives? Would her emotional reaction stress me out? When my number dropped by one point in September, I celebrated like I’d won the lottery. In December, my CA125 was 19. A second set of scans confirmed what I had known for nine months – my cancer was back. The first diagnosis felt like a kick in the butt, a nudge from the universe. Recurrence felt like a kick in the teeth. A sharp punch in the stomach. An absolutely broken heart and a broken spirit.

It was a miracle that I was diagnosed with cancer again so early. A sign of how much I had grown since the last time I missed bright, flashing neon signs. One morning, before it was confirmed, but when my deep knowing was certain, I asked myself what other regrets I had in my life. One thing immediately came to the surface: I had not made complete peace with my body. I immediately went to my therapist, who referred me to a body image group. Over the course of many weeks, I gradually changed my feelings with the help of tools and support. I couldn’t allow myself to be at war with myself.

My amazing friends, family and colleagues have once again supported me. I had laparoscopic surgery and then started another round of six rounds of chemotherapy. The second time was much more difficult. Was it age? Or a traumatic reaction to having to endure icing during treatment (I really hate icing!)? The realization slowly dawned on me: this is now a chronic illness. I was ashamed. I was stripped of my unicorn title.

The optimism and confidence I had the first time through just wasn’t there. I was haunted daily by existential grief. Even the smallest decisions were difficult. I’m extremely extroverted and usually feel most comfortable when I’m surrounded by people. But this time I felt like a wounded animal. I wanted to be alone and hide in my bed. I couldn’t convey a positive vibe to my caregivers. I also struggled to understand her positive intentions.

With the first four treatments it got progressively worse. In the fifth cycle I finally started to see the light at the end of the tunnel. I had my last treatment the day after my 52nd birthday. I had found some of my mojo. In a completely unexpected twist of fate, I also met someone shortly before my scans in December. She was also a cancer survivor and literally pulled me across the finish line.

Since completing treatment I have been getting stronger and finding a new normal. I am grateful to be taking a PARP inhibitor, which will hopefully extend my progression-free survival for a long time. (I’ve come to terms with this concept!) I’m slowly starting to look at repetition no longer as a failure, but just as a finer sieve into which to pour my life again. Cancer clears up. Only the most critical and meaningful things can get through. After the relapse, my relationship with cancer changed. I can’t part with it; We are now in an ongoing dialogue. But I’m grateful that none of us spend much time talking about dying these days.

This educational resource was created with support from Merck.

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Our “Real Women, Real Stories” are the authentic experiences of real-life women. The views, opinions and experiences shared in these stories are not endorsed by HealthyWomen and do not necessarily reflect the official policy or position of HealthyWomen.

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