Anastrozole​​. Letrozole​. Femara​. OH MY!

berries

I'm nearing the end of chemo and will be starting a 10-year rx soon. I will be transferring care over to a different oncologist next month, so I haven't discussed hormone therapy yet with my current MO, but I know it will be 10 years of pill-popping and shots.

For context, I am 35, so pre-menopausal and am currently on monthly Lurpon injections during treatment. I have done so much research, reading studies, writing notes, but the thing that still perplexes me is what kind of HT is most effective and most importantly, WHY.

I read the SOFT and TEXT trials and it seems like ovarian suppression coupled with exemestane has highly more favorable outcomes than just Tamoxifin alone. Great! BUT my question is how did you/your MO choose an AI? There are so many. Anastrozole. Exemestane. Letrozole. Femara. Faslodex. Arimidex. I know some are for postmenopausal women.

Any insight into what you are on/why would be appreciated!