I was diagnosed with stage 2A IDC breast cancer earlier this year. It was ER/PR positive, HER2 negative. It was one lump in the right breast, but both had multiple other cysts, and another weird area on a separate plane and idk, ultimately I decided on a DMX with reconstruction (in 2 phases).
I didn't need any radiation treatments due to my decision for dmx over lumpectomy. But I did 4 infusions of TC chemo 3 weeks apart. Last one was September 1st. About halfway through chemo, the oncologist told me after treatment, I'd start Lupron injections. I also had the option of the q3mo injection or an oopherectomy. When I asked if a full hysterectomy was an option...they got squirrely. No direct yes or no. I didnt push, because I'm still so undecided. We dont want children at all, so thats not a factor for my husband and I. With the Lupron, I'd also have to take either Anastrazole or one of the other AI. Tamoxifen wasnt discussed until recently.
The 4 Natera blood tests I've had have come back negative. My BRCA gene testing was negative. My oncotype scoring was 30. Per pathology and my surgeons, my mastectomy was curative of the original cancer (clear margins, no lymph node involvement).
They want me to be on meds for 5 years minimum. I refused the injections and AI at my most recent appointment. I know there is no quarantee of no side effects, but even just 4 rounds of TC was not fun, I kept having allergic reactions to shit. I dont relish the idea of osteoporosis and being in pain all the time on top of other health issues I already have. Quality of life over quantity. I understand the risk of recurrence. My mental health tanked, I started seeing a psychiatrist due to suicidal ideation and bad panic attacks. That's all been getting better.
It's been about a month and a half since my last chemo infusion and just over 1 week since Phase 2 of reconstruction (I just went with implants). I had an appt with oncology a few days ago where I told her I was not going to do the injection and AI meds.
She wants me to try the Tamoxifen. She says there will be no risk of osteoporosis. No menopause/menopause symptoms. But it does increase my risk of endometrial and uterine cancer, which I dont like at all. Call me vain, but my hair has just started growing back and I also dont like that it can cause hair thinning. I dont like it causes vaginal dryness and libido issues (which I already strugfle with due to high anxiety). When I thought I'd do the OS and AI, I was having daily panic attacks, and not sleeping. When I made the decision to not so those meds, the anxiety got better (plus therapy, and lots of meds to help on that end.).
But now they are insisting I at least try the Tamoxifen, and the anxiety is worsening again. I told her I'd try, and I just got the alert from the pharmacy this morning that the med is ready. But I honestly don't really want to do any of the meds. I'm still so indecisive. I know Im not guaranteed to experience the side effects. I dont know what Im looking for here, maybe its more of a rant. My support network with my husband and siblings and parents has been great, but they ultimately dont really understand.
Most experiences I read are from people 10+ years older than me. I guess I'm moreso looking for people closer to my age and situation and how things were/are for them, and what they decided?