Preparing for Radiation
Learn More, Feel Confident
Radiation therapy can feel like a big unknown—but asking the right questions can help you feel more in control of your care. Use this checklist to guide your conversations with your radiation oncologist or care team. Ask for answers that speak to all parts of your life—not just the treatment, but how it affects everything around it.
Considering the Side Effects of Radiation
Visit our Managing Side Effects page for helpful tips on caring for your body during and after radiation. Radiation may also limit future reconstruction options, especially if an implant alone is being considered, talk with your care team for more information.
Short-Term Side Effects of Radiation
- Redness, peeling, or darkening of the skin in the treated area (similar to a sunburn)
- Breast pain or swelling
- Fatigue
Long-Term Side Effects of Radiation
Some side effects may not appear until months or years after EBRT ends. Knowing what to expect can help you make informed choices and plan for the future. You may experience:
- Shrinkage or firmness in the treated breast
- Breast swelling (this usually subsides over time)
- Lasting changes in the skin’s color or texture (usually mild)
- Lymphedema—swelling in the arm or chest area if lymph nodes are included in treatment
- Reduced ability to breastfeed from the treated breast
- Higher risk of healing or cosmetic complications if reconstruction is done before radiation
- Rarely, weakness or fractures in the ribs
Questions to Ask Before Beginning Radiation
Your Personal Treatment Plan
- Why are you recommending radiation therapy for me specifically?
- What’s the goal of radiation in my treatment plan—are we aiming to prevent recurrence, treat current cancer, improve survival, or manage symptoms?
Session Details and Scheduling
- How many sessions will I need in total?
- How long does each treatment usually take?
- When will my radiation treatments start?
- Can I choose or request specific days or times for appointments?
Comfort and Companionship
- Should I plan to come alone to my appointments, or is it better to bring a support person?
- What should I wear to my appointments for ease and comfort during treatment?
- Can I wear a bra during treatment? Are there any types I should avoid?
Skin Care During Treatment
- What skincare products are safe to use (or avoid) during radiation—like lotions, soaps, deodorants, or makeup?
- Will my skin change during treatment? If so, what can I do to protect or soothe it?
Side Effects and How to Handle Them
- Which side effects are temporary, and which could last longer?
- Are there side effects that need urgent medical attention?
- What symptoms or changes should I report to you right away?
Staying Connected with Your Team
- How often will I meet with you or a radiation nurse to check on my progress?
- Who should I contact if I have questions or concerns about my treatment?
- Is there a direct line or after-hours contact if something comes up on weekends or holidays?
Life During Treatment
- Can I keep doing my normal daily activities during radiation?
- Are there things I should avoid—like baths, swimming pools, hot tubs, or certain exercises?
- Are there any precautions I should take when around friends, family, or pets?
Long-Term Outlook and Support
- What are the possible long-term effects of radiation?
- Will radiation affect any future surgeries, including breast reconstruction?
- Should I continue seeing my primary care doctor or gynecologist during treatment?
- Can you recommend support groups or counseling—especially for young adults with cancer?
