By Victoria Wellman
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Jackie Townsend was like any other 23-year-old in love for the first time, until colon cancer brought on early menopause.
Like anyone battling such a destructive and agonising illness so young, The New York-based novelist could not have imagined the cure would bring more heartache.
But contrary to her doctor's predictions, the cutting edge chemotherapy treatment that saved her life would also threaten her womanhood, her sexuality and her fertility.

Brave: Writer, Jackie Townsend, now 45, was 23 when after battling cancer she went through early menopause
In an ironic twist of fate, Jackie's traumatic transformation coincided with her 50-year-old mother's own menopause.
Recalling how her mother faced her own experience head on, she told MailOnline: 'My mother had raised her daughters to be proud, independent, self-sustaining women.
'She kept busy with her career, thatâs how she got through menopause, and soon, that would be my remedy too.'
But though her mother's support was invaluable nothing could disguise the fact that her romantic life would be blighted by the unfortunate symptoms of early menopause.
'At the age of 23, this was the crux of the issue for me,' she admitted. 'Not the infertility so much, for I was cancer free and ready to re-start my post college life.

Through thick and thin: Jackie and her husband adore their nieces and nephews so much they have decided not to adopt or have a surrogate
'It was about my sex life, my young body shriveling up and dying.'
It was a year after remission from cancer that Jackie was informed by her gynecologist that the strange mood swings, vaginal dryness and persistent sweating were the result of 'premature ovarian failure.'
'I sat there dumbfounded,' she remembers as he went through the list of the all too familiar symptoms. 'But it wasnât until said the dreaded words - vaginal dryness - that my eyes popped open. After that I heard nothing else.'
Though she told her boyfriend straight away and they weathered the storm together, after a year he left.
'I was devastated,' said the writer. 'Iâm not sure if my Iâll infertility had something to do with it. Iâll never know, I guess.'
As time went by, Jackie's periods gradually became less and less regular until they stopped altogether.

Sisterly love: Jackie (right) and her two sisters were raised to be 'proud, self-sustaining and independent'
With the men she dated while studying for an MBA in California, she was honest right from the get-go about the scar on her pelvis.
When she met the man who would become her husband, she told him the first night they were together.
'But thatâs me, I think,' she said. 'I feel deeply, and if I felt something for someone, the words just came out.'
'I wasn't even thinking of kids. You don't really think about fertility until you're in your late 20s'
For the last 20 years Jackie has managed the symptoms she experienced at the onset thanks to a drug called Prempro,
But, she confessed, the fertility issue re-surfaced when she turned 35 and realised that would never have children with her husband.
'It was like OK, I get it now. I canât have kids. And so we need to do something, we need to make a decision, a choice.'
Though one of her sisters even offered to be a surrogate, the candid novelist and her husband have deci ded that their seven nieces and nephews provide enjoyment enough.
And looking back on her experience, with the same strength of character as her mother displayed, Jackie has found a way in which to be positive about going through the menopause at 23.
'When youâre young you have this feeling like the world is yours,' she concluded. 'Nothing can stop you. Not cancer. Certainly not infertility, so you sort of just glide on by it.'
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Sex == forget it. Over rated pastime. Many more interesting things to do in life than that.
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Why are people saying that premature menopause ages you? I would have thought the opposite, as oestrogen is what ages you. And this lady if anything looks younger than 45.
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For different reasons I had a total hysterectomy last year aged 27. I have no children and obviously am now menopausal. It's just one of those things, either bury your head in the sand or brush yourself down and get on with it. I'm healthier and happier now than I have felt in years. I may have no kids, but have a loving partner and a lovely dog!
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I went through early menopause and yes, I grieved hard at not being able to have a child. It is a pretty instinctive part of human life, to feel the need to "reproduce" - we are genetically programmed for it. Admittedly, the desire is stronger in some than in others, but when your choice is taken from you, it is a cruel blow and you have to grieve first, before you can learn to accept and live with it.
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Thank goodness it's not another woman harping on about infertility blighting their lives!! Same thing happened to me in my early 30's, you deal with what life throws at you and get on with it!
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She looks soooooooooooo gorgeous!!!!
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Jackie, Your body DOES NOT 'shrivel up and die' What has happened to you is unfortunate and a little sad but menopause is not the end of your life... Whilst I am lucky and not had cancer and I had my daughter, I started the menopause at 40 and my mum at 38. I had hormone replacement therapy for 8 years and it worked great, no problems. I then decided to carry on and let nature take it's course and never looked back. No periods, no monthly hormonal imbalance and to be honest nothing else changes because your body compensates for everything eventually given the chance. However the more you dwell on it as an affliction the worse you will feel. I haven't missed the point about having not having children but HEY! you are alive and well, I hope.
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"there are more than enough kids in the world and your own genetic pool doesnt have to be reproduced" ann, cardiff wales, 23/6/2012 09:23.................. This type of comment so often comes from people who have had their own genetic children, so is hypocritical.
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- pietschka liika, scania, danmark, you lack a lot of compassion, I hope you don't suffer the same or similiar and have those types of comments aimed at you
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Pietschka-ever thought of being a Samaritan? No?! - Good ! Don't.
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