Rehabilitation for Female Reproductive Cancers: Part 1

Presented by Erica Holland

Video Runtime: 65 Minutes; Learning Assessment Time: 39 Minutes

This course provides a comprehensive review of the essential roles rehabilitation professionals play in the management of female reproductive cancers across the continuum of care. Practitioners will explore the critical distinctions between common pelvic symptoms and the clinical “red flags” associated with gynecologic malignancies and metastasis. Through a detailed analysis of tumor staging, medical interventions, and surgical procedures—including hysterectomies and lymphadenectomies—learners will gain the clinical reasoning skills necessary to adapt therapeutic goals to the patient’s specific treatment phase. Special emphasis is placed on understanding the biopsychosocial implications of antiestrogen therapies and the systemic side effects of chemotherapy and radiation. By integrating evidence-based screening tools and survivorship priorities, rehabilitation providers can better advocate for patient safety and optimize functional outcomes as part of a multidisciplinary oncology team.

Learning Outcomes
  • Deconstruct the therapy role in surveillance, treatment, survivorship, and palliative phases of cancer therapies
  • Distinguish common pelvic pain characteristics and response to rehabilitation treatment from signs and symptoms of female reproductive cancer and metastasis
  • Correlate medical interventions for cancer therapy to patient-centered rehabilitation goals that support engagement and participation in meaningful occupations
  • Examine the biopsychosocial impacts of medical cancer management to identify secondary barriers to a patient’s functional recovery
  • Determine rehabilitation priorities by correlating the symptoms of antiestrogen medical management with a patient’s cognitive and pelvic signs
  • Determine rehabilitation interventions by survivorship phase

Meet your instructor

A woman with wavy brown and purple hair, dressed in a black top over a pink collared shirt, smiles at the camera against a white background for medbridge.

Erica Holland

Dr. Erica Holland is a pelvic health physical therapist with advanced specialty training in pelvic neurology, abdominopelvic oncology, and pelvic impairments of all genders. She earned a master’s degree from the University of Evansville and a doctorate from Virginia Commonwealth University. Erica is board certified in women’s…

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Chapters & learning objectives

Therapy Role by Cancer Stage

1. Therapy Role by Cancer Stage

Learners will define the evolving responsibilities of the therapist during the surveillance, active treatment, survivorship, and palliative phases of cancer care. This section emphasizes the importance of differential diagnosis and screening to ensure timely medical referrals and preserve patient quality of life.

Types of Female Reproductive Cancers and Their Staging

2. Types of Female Reproductive Cancers and Their Staging

This chapter details the pathology, risk factors, and clinical presentations of endometrial, ovarian, cervical, and vulvovaginal cancers. Participants will learn to identify specific signs and symptoms, such as postmenopausal bleeding and persistent bloating, that necessitate immediate oncology consultation.

Metastatic Cancers To and From the Female Reproductive Tract

3. Metastatic Cancers To and From the Female Reproductive Tract

This section covers the mechanisms of cancer spread, including the FIGO and TNM classification systems for tumor staging. Providers will examine common sites of regional and distant metastasis to better monitor for new or worsening musculoskeletal and constitutional symptoms in their patients.

Medical Treatment and Patient Implications

4. Medical Treatment and Patient Implications

Practitioners will review the primary pillars of medical management, including surgical excision, radiation therapy, and systemic chemotherapies. The discussion focuses on the short- and long-term side effects of these interventions, such as lymphedema, vaginal stenosis, and neuropathy, to inform rehabilitation priority setting.

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