Madonna is going through health issues, and as a result has decided to cancel three Madame X tour dates in Boston due to “doctor’s orders.”

“Please forgive this unexpected turn of events,” she wrote in a press release. “Doing my show every night brings me so much joy and to cancel is a kind of punishment for me, but the pain I’m in right now is overwhelming and I must rest and follow doctor’s orders so I can come back stronger and better and continue the Madame X journey with all of you.”

Live Nation confirmed that the singer’s shows planned for Wang Theatre in Boston are the only cancellations so far. Madonna’s next show is set for December 7 in Philadelphia.

Furthermore, as Boston.com reports, the three canned shows will not be rescheduled so ticket holders will instead receive automatic refunds. Ouch!

Well, better a refund than nothing right?