I had brachytherapy at 79. I don't think age is a big factor. I'd like to stay around a few more years.

The vagina is the most frequent site for recurrence so I assume that is why they are recommending vaginal radiation. It's relatively low dose......

Hi Susan! I chose not to have the recommended brachytherapy for my type 1 endometrial stage 1A grade 2. I am 63 and in great health otherwise. My oncologist recommended brachytherapy and I met with a radiologist to ask questions about the procedure. Both recommended because of my LVSI multi focal 4. After researching, I found out that LVSI would spread thru lymphatic channels and brachytherapy would not give me protection from that. Brachytherapy only helps prevent local vaginal cuff recurrence. It wouldn’t give me additional protection from the LVSI…which was the reason my oncologist and radiation oncologist recommended it. The radiologist I met with didn’t answer many of my direct questions and told me not to wait too long. I was feeling pressured by him and his nurse told me that he had only treated 1 patient that year with brachytherapy . I was looking for a more experienced radiologist. The nurse heard me ask the dr and I wasn’t given an answer other than I needed it and not to wait too long. I have read so much on pub med and nih.gov websites and decided it wasn’t for me now. If I have a recurrence I wouldn’t have the option of brachytherapy if I have it now. I will use brachytherapy treatment if I have recurrence and my oncologist recommends it . After researching, I found out that many oncologists are using the Signatera blood test. It checks for circulating cancer cells up to 8 mos before they can appear on any sort of scan. I asked my oncologist about it and insisted that I wanted to be monitored by the test every 3 to 6 mos and by observation. She checks me every three months and does a through vaginal and rectal exam. She checks me from head to toe and feels for swollen lymph nodes. I do like my oncologist….but I do have to advocate for myself…especially for the Signatera blood test. I was going to utilize that test even if I had to find another oncologist. This is just my choice for my situation. Everyone has their own unique situation. May God bless you with healing and great health.