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Female Pelvic RT Toxicity - Late

Menopause (within 4 months) in premenopausal

Uterus unable to carry foetus to term

30% vaginal stenosis/dyspareunia

10% proctitis/cystitis

5-10% pelvic insufficiency fractures

2-8% small bowel damage

2-5% femoral neck fractures (

in elderly)

1-2% fistulae

Ureteric stenosis and lumbosacral plexopathy rare