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Today, at age 24, when my peers are dating, marrying and having children of their own, my cancer treatments are causing internal and external changes in my body that leave me feeling confused, vulnerable, frustrated - and verifiably unsexy.
Suleika Jaouad
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More from Suleika Jaouad

After my diagnosis at age 22 with leukemia, the second piece of news I learned was that I would likely be infertile as a result of chemotherapy. It was a one-two punch that was my first indication that issues of cancer and sexual health are inextricably tied.
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Just a few years ago, at the age of 22, I learned I had an aggressive form of leukemia. I needed intensive chemotherapy and a bone marrow transplant to save my life. Back then, my doctors told me that I had a 35 percent chance of surviving my transplant.
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When I was diagnosed with cancer at age 22, I learned just how much cancer affects families when it affects individuals.
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I remember my first day of chemo as if it were yesterday, hanging up my favorite summer dress like an athlete retiring a jersey. Within a few weeks, my waist had shrunk to a double zero - the size it was when I was in the sixth grade. My cheek bones jutting out. Rings under my eyes. Skin the color of chalk.
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In my darkest days in the oncology unit, I promised myself that if I ever got into remission one day, I would become a stronger, healthier and better version of my precancer self.
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Today, my brother and I share almost identical DNA, the result of a successful bone marrow transplant I had last April using his healthy stem cells. But Adam and I couldn't be more different.
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