the decision we make are not easy ones.
I have read on here about ladies having hysterectomys after being on tamoxifen because of the effect it can have on the lining of the womb. And if you have endometriosis then I wouldn't be keen either.
I am also pre menopausal and when I got the results of my surgery the surgeon explained why tamoxifen was the best hormone therapy for me, how it worked etc. Then said I couldn't take it due to a previous blood clot. he said the team were advising zoladex and letrazole but it was up to me.
I postponed my decision until my rads were finished and asked the oncologist to run all my stats through their computer. Based on my personal cancer details he gave me the figures for tamoxifen, letrozole, and no hormone therapy.
Then I was given the time to make up my own mind. Yes tamoxifen had slightly better results but it is not the only option. You have very valid concerns but there are choices and you have to live with them. Your breast care nurse might be able to give you your figures but if not I would speak to your oncologist to explore other hormone therapy treatments.
I hope they can help you with your decision.
Hello. I'm hoping someone out there has been in the same predicament as I find myself in at this moment. I am 46, pre-menopausal, had a double-mastectomy in January, have been through chemo and now radiation, and am supposed to start Tamoxifen afterwards. My predicament is this: I have severe, Stage IV endometriosis, and have had it for a couple decades. I've read that Tamoxifen can lead to endometrial cancer. Since my endometrial cells are scattered throughout my abdominal cavity, I'm concerned about the Tamoxifen leading to cancer on my internal organs. Has anyone else been in the same predicament? Please help. I've talked to my OB/GYN, and he said that he can understand my dilemma, and that my question is a very valid one, but he doesn't know the answer.
I hope you get the results you want and it helps with your decision.
Take care and hope your next operation goes well.
It was a tough time but things are slowly getting better.
It was about 11 months between mastectomy and hysterectomy, I had 4 operations within a year, I went straight into menopause but it was not as bad as i expected or had heard about. I did have some hot flushes and joint pain to start with but this has mostly settled. I also joined a different forum that was all about hysterectomies where i got some information. I am not in a relationship but there is a booklet on this site about sex, intimacy and breast cancer which might give you some info that will help.
Hope all goes well
I was diagnosed with fibroids 6 months before BC aged 42, I had a mastectomy but did not need chemo or radiotherapy just hormone therapy. I was started on Tamoxifen but was still having problems with fibroids including pressure on bladder. I was offered a hysterectomy which i did not want so went in to hospital to have ovaries removed via keyhole surgery, unfortunately they could not locate them because the fibroids had grown so much and they thought there was also endometrios so had to have a hysterectomy. I had a bad time during surgery due to the size of the fibroids ( lost a lot of blood) and there was some endometrios. I spent about 10 days in hospital and about 12 weeks off work. I have been left with slight bladder issue ( need to go often), but tablets have helped this.
I was then switched to Exemestane(aromasin,only used if you have been through menopause). I did have some side effects to start with but now i just feel tired a lot of the time and some vaginal dryness.
There may be something else they can suggest for you, If you have been allocated a breast care nurse they may be able to give you more information about the different hormone treatments available.
Sending lots of hugs
I'm sorry to hear you are worrying about this, all decisions are hard, I worried about starting hormone therapy and decided to take one treatment at a time. I started zoladex on wed and the leaflet says it is also used to treat fiboids and endometriosis. It also says that after 2 weeks I will have the hormone level of someone who has had the menopause. This is terrifying me. The decision to take hormone therapy was my most difficult one. I agonised over it, asked for advice from team and read everything.
I asked my oncologist to run the figures through their computer program, based on my details and my specific cancer. The benefit was quite a small percentage and I did think about not taking the treatment, then I was reminded by a lady on here that every percent is a real woman who didn't make it, so here I am, if you like I can let you know how it is.
on your other topic I had a hysterectomy nine years ago at 41 and it was the best thing I ever did. After being told for years the pain and heavy periods I had complained to my doctor about I discovered I had 13 fibroids, the biggest was 8cm I also has endometriosis. It's a big op and you need to be strong for it, but the delight of no pain was great, however I fought hard to keep my ovaries, I just didn't want the menopause. That's a decision I regret now.
You have the choice not to take hormone therapy, my oncologist had no problem waiting until I was ready.
ask for as much information you need to make a decision you can live with.