Coming off the meds early
I had stage 1, Breast cancer w/ a low oncotype score of 13. I chose to have a double mastectomy and did not need chemo. My BRCA was negative and I am 35 years old.
I have been on the meds for a year now and would like to consider coming off them to have a child. I have talked to my oncologist regarding this and hit a brick wall. I went for a second opinion and was told that given my numbers being so low, that it would be reasonable for me to come off after two years.
I was wondering if anyone else has run into this predicament and what advice you can give me.
Thank You,
Milinda
Comments
-
Hi Milinda and welcome to the site no one wants to qualify for.
I came off tamox after 2 years and Aromasin the following 6 mos. I was 59 at dx, so we are pretty different. I chose mast.. over chemo and rads.
My onc is a very forward thinking one and participates in international studies and such. We agree that most bc recurrances were found in the first 2 years or so after diagnosis. I was having such side effects that my quality of life was affected and we agreed I could stop it.
You have done most all I would have suggested and have a powerful argument to take a med. holiday. I say best two out of three: get that third opinon to help you decide.
I don't see where you live, but consider an out of town consult. Standards of medical care are known to different areas or cities, so to provide a completely different approach could be helpful. Maybe a breast or university center would be good and oncs not stuck in the rut of doing what they always do--no dis to your onc, but habits are hard to break and some oncs read more and attend more meetings with newer info.
Good luck and I hope you safely get your holiday and are successful in getting preggers!
-
Thank you for taking the time to reply. I am still unsure as to what I should do. There is no real "right" answer in this situation. I don't feel as if I need to the meds.. but don't want to make my family worry any more than they are. The tomoxifin makes me feel tire, upset stomach, bloated.. and somewhat cranky at times. So, in that respect I'd like to come off as well... and to have a little one would be the greatest.Cheers to you and thank you again for respondng.
-
I would like to add that the choice is yours alone. My family completely understood why I was choosing to discontinue the meds, even if I could have maybe extended my life---and we're very close, my kids and I.
I guess the disappointing your family comment caught my eye and wanted to reinforce that this time: it really is all about YOU. Your decision, and your life.
It's the case of not looking back and questioning yourself that you have to have a handle on, IMO>
-
Milindarose - I am sure you have already considered that by the time you finish 5 years on tamoxifen you will be getting close to 40 and falling pregnant gets harder as we age. If children are an absolute must in your life then I would go back to your oncologist and see if there is any other option or take the 2nd ocologists advice and do the 2 years. There are many women who have breast cancer and go on to have children. My story isn't the same but I am also considering coming off tamoxifen after 2 years (March 2011) mainly because of the ageing effect on my body - a lot more superficial than the dream of having a child. BTW I had my first child when I was 37 and second when I was 39 (all b4 being diagnosed though).
I hope you get your dream and have a little one or two!!!
big hugs
Helena
-
I am also considering coming off Tamoxifen. I am on a holiday with consent of my oncologist for two weeks, but I'd like to come off completely. I've been on Tamoxifen for four years and now have every side effect listed. My bones hurt. My joints hurt. My hands hurt 24/7. I'm afraid of losing the use of my hands. I'm fatigued, short of breath. You name it, I have it. I had the nuclear stress test on my heart and recently one on my bones. They turned out OK, thankfully. I am afraid my oncologist will not continue to see me if I insist, though. If my cancer returns, I'd hate to have him refuse to treat me. I was on Aromasin for a few months and switched to Tamoxifen because of pain.:((
-
I have stopped meds early Twice.
The first time, I had been on Femara for 4 years. I'd had a Stage 1, grade 1 cancer, had the ovaries removed, and just felt it was time.
A year later I felt a lump in the other breast, another early but new primary. I figured it was there at the time of the original cancer, but just grew when I came off the AI. My onc tended to agree.
So, back on AIs. But I just stopped the Aromasin after 2.5 years. Too much pain and poor quality of life. I have the backing of my docs and of my husband, but that backing didn't really matter much to me. It was MY choice.
My onc has always been supportive of my choices. I don't make decisions based on emotions. And, once I make a decision, I don't look back with the "what-if's." The choice to stop meds or any kind of treatment is not an easy one--filled with judgment from others and self-doubts related to all our fears. But it's our and ours alone to make.
Best wishes to anyone struggling with this issue.
Anne
-
Beautifully said, Anne,
-
I would ask for a better explanation from your oncologist. My gut says since you are ER+/PR+, HER2+ with one node is the reason why s/he went nuts. There is a much higher risk with all 4 of these factors for metastasis to other organs. Add the fact that you are pre-menopausal and young.
You may be only stage 1 and DCIS but I can totally understand where your oncologist is coming from. Remember part of the reason why your prognosis is good for stage I is due to all the things they can treat you with. If you don't follow treatment you are increasing your risk.
-
Milinda-
I read this post a couple weeks ago and have thought of it often and so I came back to respond. I just came off of Tamoxifen in May in order to prepare to get pregnant. I was diagnosed in June of 2008 after I had my first baby. I had a very hard time with Tamoxifen the first time around and had to take a break before going back on it so I was not on it the whole two years and still plan to go back on it to finish the five years.
My doctors were supportive from the beginning when I told them we still hoped to have another child. Two years were what I was told from the start. I have also had MANY in my life who have felt it necessary to express to me that they think I am being foolish. I should be happy to have my one (amazing) child and not put myself at risk by having another. I have tried to believe with my mind and my heart that I do not need another child. I have imagined it and tried to live it. The fact is that nothing in my life has ever brought me as much joy as raising my son side by side each day with my husband. No matter how hard I try, I keep returning to the same thought that I really want to have a second child.
I finally made peace with the decision to have another child if God and my 40 year old body will allow it to happen. First of all, as my oncologist reminds me every time it comes up, babies do not cause cancer. I finally had the realization, if it is coming back, it will be coming back with or without this baby. If I sacrifice this dream because I am afraid and then f***ing cancer comes back, I will be a bitter woman. Not having a baby does not mean I am not going to go through breast cancer again.
What it will do is make the cancer that might already be in me grow faster and yes that does scare me.
I spent the radiation portion of my treatment sitting across the waiting room from a woman who battled her second round of cancer after having her second child. I think about this all the time as well and that scares me too. She is doing great now by the way.
I don't know you and of course you need to make the decision that is right for you. I just know that so many told me not to do it and it made me so sad. I thought it might make you feel better to hear from one who is doing it. I might be here one more week or one more year or maybe even 50 years. The gift breast cancer gave me is that I am going to really live my life, soak every precious moment that I can and not let cancer make me live in fear.
-
Bravo, runner!!!!
Good for you for following your heart and not listening to the people who put down your choice without walking in your shoes. Any child you have will be blessed and loved and raised well. You cannot live in fear of cancer coming back as a reason to forego your desire for a second child! As you said, you may never get cancer again and have all that regret. Or, if you do recur, well, you'll push on and have a loving family by your side. And they will be better off for having YOU in their lives.
Best of luck conceiving!!
Anne
Categories
- All Categories
- 679 Advocacy and Fund-Raising
- 289 Advocacy
- 68 I've Donated to Breastcancer.org in honor of....
- Test
- 322 Walks, Runs and Fundraising Events for Breastcancer.org
- 5.6K Community Connections
- 282 Middle Age 40-60(ish) Years Old With Breast Cancer
- 53 Australians and New Zealanders Affected by Breast Cancer
- 208 Black Women or Men With Breast Cancer
- 684 Canadians Affected by Breast Cancer
- 1.5K Caring for Someone with Breast cancer
- 455 Caring for Someone with Stage IV or Mets
- 260 High Risk of Recurrence or Second Breast Cancer
- 22 International, Non-English Speakers With Breast Cancer
- 16 Latinas/Hispanics With Breast Cancer
- 189 LGBTQA+ With Breast Cancer
- 152 May Their Memory Live On
- 85 Member Matchup & Virtual Support Meetups
- 375 Members by Location
- 291 Older Than 60 Years Old With Breast Cancer
- 177 Singles With Breast Cancer
- 869 Young With Breast Cancer
- 50.4K Connecting With Others Who Have a Similar Diagnosis
- 204 Breast Cancer with Another Diagnosis or Comorbidity
- 4K DCIS (Ductal Carcinoma In Situ)
- 79 DCIS plus HER2-positive Microinvasion
- 529 Genetic Testing
- 2.2K HER2+ (Positive) Breast Cancer
- 1.5K IBC (Inflammatory Breast Cancer)
- 3.4K IDC (Invasive Ductal Carcinoma)
- 1.5K ILC (Invasive Lobular Carcinoma)
- 999 Just Diagnosed With a Recurrence or Metastasis
- 652 LCIS (Lobular Carcinoma In Situ)
- 193 Less Common Types of Breast Cancer
- 252 Male Breast Cancer
- 86 Mixed Type Breast Cancer
- 3.1K Not Diagnosed With a Recurrence or Metastases but Concerned
- 189 Palliative Therapy/Hospice Care
- 488 Second or Third Breast Cancer
- 1.2K Stage I Breast Cancer
- 313 Stage II Breast Cancer
- 3.8K Stage III Breast Cancer
- 2.5K Triple-Negative Breast Cancer
- 13.1K Day-to-Day Matters
- 132 All things COVID-19 or coronavirus
- 87 BCO Free-Cycle: Give or Trade Items Related to Breast Cancer
- 5.9K Clinical Trials, Research News, Podcasts, and Study Results
- 86 Coping with Holidays, Special Days and Anniversaries
- 828 Employment, Insurance, and Other Financial Issues
- 101 Family and Family Planning Matters
- Family Issues for Those Who Have Breast Cancer
- 26 Furry friends
- 1.8K Humor and Games
- 1.6K Mental Health: Because Cancer Doesn't Just Affect Your Breasts
- 706 Recipe Swap for Healthy Living
- 704 Recommend Your Resources
- 171 Sex & Relationship Matters
- 9 The Political Corner
- 874 Working on Your Fitness
- 4.5K Moving On & Finding Inspiration After Breast Cancer
- 394 Bonded by Breast Cancer
- 3.1K Life After Breast Cancer
- 806 Prayers and Spiritual Support
- 285 Who or What Inspires You?
- 28.7K Not Diagnosed But Concerned
- 1K Benign Breast Conditions
- 2.3K High Risk for Breast Cancer
- 18K Not Diagnosed But Worried
- 7.4K Waiting for Test Results
- 603 Site News and Announcements
- 560 Comments, Suggestions, Feature Requests
- 39 Mod Announcements, Breastcancer.org News, Blog Entries, Podcasts
- 4 Survey, Interview and Participant Requests: Need your Help!
- 61.9K Tests, Treatments & Side Effects
- 586 Alternative Medicine
- 255 Bone Health and Bone Loss
- 11.4K Breast Reconstruction
- 7.9K Chemotherapy - Before, During, and After
- 2.7K Complementary and Holistic Medicine and Treatment
- 775 Diagnosed and Waiting for Test Results
- 7.8K Hormonal Therapy - Before, During, and After
- 50 Immunotherapy - Before, During, and After
- 7.4K Just Diagnosed
- 1.4K Living Without Reconstruction After a Mastectomy
- 5.2K Lymphedema
- 3.6K Managing Side Effects of Breast Cancer and Its Treatment
- 591 Pain
- 3.9K Radiation Therapy - Before, During, and After
- 8.4K Surgery - Before, During, and After
- 109 Welcome to Breastcancer.org
- 98 Acknowledging and honoring our Community
- 11 Info & Resources for New Patients & Members From the Team