No Hormonal Therapy - Roll Call

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  • bluewillowskys
    bluewillowskys Member Posts: 365
    edited January 2014

    i had DCIS grade 2 er/pr positive and did one year of tamoxifen. I couldnt tolerate the fatigue and joint pain....i lost my period for about 3-4 months but then it came back heavier and has remained so the past 14 months that i have been off the tamoxifen... im freaking out that BC will return cuz im not doing the tamox so im considering a BMX rather then go through the trauma of another recurrence or new cancer in the future....

  • jjnscat52
    jjnscat52 Member Posts: 17
    edited January 2014

    Always do your research. I avoid drugs that cause NEW disease.

  • Sadie2401
    Sadie2401 Member Posts: 3
    edited January 2014

    what do we know about Flasodex?

  • Sadie2401
    Sadie2401 Member Posts: 3
    edited January 2014

    had double mx 9/08... Was on femera for 5 years...all good...went off it the end of Sept & it came back.  I believe the estrogen blockers save lives.  I was 90% positive.  I also believe I should not have been taken off of it...they now say 10 years...

  • dogsandjogs
    dogsandjogs Member Posts: 1,907
    edited January 2014

    Your cancer came back after the 5 years? Despite the hormonal treatment?  Unfortunately there is no guarantee.

  • Bren-2007
    Bren-2007 Member Posts: 6,241
    edited January 2014

    Hi Sadie,

    I am so sorry your cancer came back.  Not sure I know what you mean about the Faslodex.  All I know about it is that it's another anti-hormonal and is given by injection once a month.  I hope that if this is the treatment you are receiving that it kicks the hell out of the cancer.

    hugs,

    Bren

  • Bren-2007
    Bren-2007 Member Posts: 6,241
    edited January 2014

    Dogsandjogs ... Agree with you ... there is no guarantee when it comes to cancer.  I know of women who took their hormonals and the cancer still returned.  In one case, my friend's came back after four years on Tamoxifen.  In another case when the cancer came back it had changed hormonal status from positive to negative.

    I don't regret my decision not to take the hormonals ... I've been very blessed to be 6 1/2 years past diagnosis and still cancer-free. I don't take my status for granted ... ever.  Every day counts and is a blessing.

    hugs,

    Bren

  • corky60
    corky60 Member Posts: 726
    edited January 2014

    I was going on five months into it when my MO said for me to quit Aromasin.  I was managing the many SEs but I could not manage the excruciating knee pain.  It came on gradually and then bam! hit with full force.  Both knees were swollen, burning like they were on fire, ibuprofen didn't help, icing helped somewhat.  I spent days in a chair with tears in my eyes.  Despite misgivings I want to try another AI after the knees settle down.  Right now the best thing I can do is to lose weight.  Less body fat means less estrogen circulating.

  • dlb823
    dlb823 Member Posts: 9,430
    edited January 2014

    It's such a personal decision.  I refused an A/I after I had a horrible experience with Femara in 2008, and I have posted frequently about natural estrogen modulators.  But I have also just learned that my bc is back (after 6 years) in my bones.   

    I still believe refusing an A/I was the right choice for me at the time.  I had just come off several years on HRT, and my body simply couldn't tolerate the double whammy of going cold turkey on HRT, then adding the A/I.  But I've ended up starting one now, which is kind of ironic when you think about it, and does make me question if I should have been more open-minded to at least trying Arimidex or Aromasin when I had the severe problem with Femara.      Deanna

  • wenweb
    wenweb Member Posts: 1,107
    edited January 2014

    Deanna,  I'm so sorry to hear about your recurrence   It could have come back whether you continued on the AI or not, there is no way to ever know.  I hope you are taking care of yourself, not beating yourself up.  Hugs.

  • farmerlucy
    farmerlucy Member Posts: 3,985
    edited January 2014

    Deanna - I'm so sorry. :(  Gentle hug.  :( 

  • Bren-2007
    Bren-2007 Member Posts: 6,241
    edited January 2014

    Deanna,

    I am so sorry to read that your cancer is back.  Breaks my heart .. you are such a lovely person and so warm and supportive of everyone in this community.

    Wishing you well in the days ahead ... you will be in my thoughts and prayers.

    Bren

  • corky60
    corky60 Member Posts: 726
    edited January 2014

    Deanna, I am so sorry to hear your news.  I really appreciate all your posts and pray that you will still contribute for many, many years to come.

  • dogsandjogs
    dogsandjogs Member Posts: 1,907
    edited January 2014

    So sorry to hear this Deanna!  But you seem like a very strong lady; I know you will do just fine for many, many years to come!

  • heathergirl
    heathergirl Member Posts: 11
    edited January 2014

    I hated Tamoxifen.  I hated the daily reminder of cancer.  I remembered docs telling me estrogen patches and bc pills were completely safe.  I just couldn't do it again.  I could not believe the docs again.  

  • heathergirl
    heathergirl Member Posts: 11
    edited January 2014

    (((((Deanna)))))  

  • jpteacher1
    jpteacher1 Member Posts: 52
    edited February 2014

    HELP!!  I will be finishing my radiation treatments next week.  I have Stage 1a Grade 2 breast cancer with lumpectomy and Oncotype DX score of 23.  I am 68 years old.  I also have rheumatoid arthritis and get ocular migraines.  I meet with my oncologist on March 17th.  With all of these underlying conditions, I'm afraid to take any drugs for hormone therapy.   Need suggestions on how to approach all of this with my oncologist.  She had originally thought about putting me on Tamoxifen, but I have not told her about ocular migraines.  I'm more afraid of having a stroke.  If I don't go on hormone therapy drugs, what are my chances of having a reoccurrence?

  • bevin
    bevin Member Posts: 1,902
    edited February 2014

    HI there,  see you have your oncotype score.  Your Onco type report should have your recurrence risk score that correlates to the 23 score on the front page. If you have your paperwork its there, else you could ask your oncologist too. In my honest opinion, at 68, and a small tumor with no lymph nodes, I'd be all about quality of life. Your doctor can tell you the real benefit of adding the antihormonal as well;  and with your fear of stoke ,I'd dicuss taking a daily aspirin with him. Aspirin also has shown to have luck in preventing BC and of course we know its a benefit to reduce stroke.

     Good luck, I'm sure others will be along soon to provide input with their experience.

  • micronancy
    micronancy Member Posts: 51
    edited February 2014

    jp-  My diagnosis was almost identical to yours and I'm almost 68. Tried Tamoxifen due to osteoporosis and it GAVE me ocular migraines. So I took myself off of it and my onc was OK with my decision and was also OK with no AI treatment  due to a different eye problem (vitreomacular adhesion). And I didn't have radiation either. One year out and everything's fine. My chances of recurrence with no hormones ( Oncotype 13 ) I think are about 15-20 percent and given my age and the fact that my type of cancer usually recurs 5 or 10 years down the road , if at all, I chose quality of life, no strokes, and no blindness along with my over 80 percent chance of being permanently cancer free.

  • Bren-2007
    Bren-2007 Member Posts: 6,241
    edited February 2014

    Teacher,

    Our diagnoses are very similar.  The only real difference is I was 51 when diagnosed.  The benefit to me with a Stage I, Grade 2, ER/PR+ tumor was only 3-4%.  I only tried the hormonal treatments of Tamoxifen for six weeks and Arimidex for one week.  Just couldn't tolerate the side effects.  I suspect the benefit to you is probably very similar to mine ... a very small percentage in the long run.  It's been almost 7 years since I was diagnosed and I'm doing fine.

    Wishing you all the best,

    Bren

  • BrooksideVT
    BrooksideVT Member Posts: 2,211
    edited February 2014


    I'm also about your age  and I chose, and choose, arimidex because my oncotype result showed it would reduce my chance of recurrence  by about 50%.  I recently went through a couple of weeks of pretty strong hip pain, but aspirin got that back under control.  Do please grill your onc about your personal risks.  They know none of us want to take the durned thing, but that just about all of us want to know all the statistics, and they're all prepped to explore all the pros and cons with us. You may or may not have side effects, but if you do, you can always switch to another drug or just stop.

  • Bren-2007
    Bren-2007 Member Posts: 6,241
    edited February 2014

    Brookside,

    That 50% reduction is in your overall risk percentage.  My overall risk was about 8%.  I would have benefitted by a 50% reduction as well if I had taken the hormonals.  They would have lowered my risk to about 4%.  I just couldn't do it. I thought long and hard about my decision to stop and did an extensive amount of research based on my situation.  I was scared to stop them, but I had no quality of life while on the medications.  I think it's great if a person can take them and not be too impacted by the side effects.  I would always recommend giving it a try and see how you do on them, then make a decision.

    hugs,
    Bren

  • Jerupe
    Jerupe Member Posts: 13
    edited February 2014

    I am 70 years old and just diagnosed with atypical ductal hyperplasia.  I am in excellent health, exercise daily, and have no family history of breast cancer.  My oncologist has recommended to me that I take Raloxifene to lower my risk of breast cancer.  After looking at the side effects I am scared to take this drug.  I have a family history of heart problems and it appears that this drug can cause some issues with heart as well as stroke, leg pains, depression,etc and the list goes on.  At 70 I am looking at quality of life and I do not want to jeopardize the next 5 years of my life with these debilitating side effects.  It is so difficult making this decision but I am going to risk the odds.  Taking this drug appears to reduce my bc risk by 50% and since my risk has increased. 4 to 5 fold by having ADH it appears that my benefits would not outweigh the risk of drug therapy.  Also the ADH was very small.

  • Jerupe
    Jerupe Member Posts: 13
    edited April 2014

    I saw a second oncologist because I just needed to put at rest my decision on no drugs.  I was so pleased with my new onc...she was a woman and spent an extensive amount of time explaining risk factors and benefits of meds.  I had also consulted with a family pharmacist and she called 5 other pharmacists to research the side effects.  My pharm family member had lost her mother to breast cancer so she was a strong advocate for meds.  I am now on my 3rd week of Evista and fortunately no side effects as yet.  There is a sense of peace in knowing I am doing a proactive step in hopefully preventing breast cancer.

  • lahela
    lahela Member Posts: 515
    edited April 2014

    I've decided to stop taking Femara. Debilitating hot flashes, crippling joint pain and now incredibly painful sex. I'll see the MO in June and may consider trying one of the other AIs, but for now, I'm giving myself a break. I need quality of life, I need sleep which is not interrupted 8 times a night by hot flashes so bad I have to take a cold shower, I need to be able to walk without pain and I need to be intimate with my husband. And I do not just want to add another pile of pills and treatments on top of the ones I have been taking to deal with the SEs. I've had enough.

  • tgtg
    tgtg Member Posts: 266
    edited April 2014

    I decided to decline hormonal therapy soon after my surgery, mainly because of three precepts that I live by: (1) Don't mess with Mother Nature, especially when it comes to hormones; (2) Avoid any drug that creates diseases, especially ones that are silent, invisible killers (like stroke and clots), and don't just take other drugs to counteract the first;  (3) Don't believe pharma advertising and also don't believe reports on research that was funded by parties with a vested interest--in this case, the pharma industry.  

    Luckily, my stage 1/grade 1 tumor with no nodal involvement--and being 72 at diagnosis--allowed me the luxury of following these precepts and making (and sticking to) this decision.  Also luckily, the med. onc. I saw ordered the Oncotype test, and I have not seen her since; she called me with the results (a non-threatening 12) and agreed that my odds are pretty good, even without a drug.  Also luckily, my surgeon supports my decision, and reminds me to keep up my exercise regimen (he and I occasionally work out alongside each other at the Y!) and to keep hiking when not at the Y.  (Advice just reaffirmed in the latest bco post on new b.c. research!) 

    Also luckily, a physician friend who is also a well-respected pharmacologist advised me to decline adjuvant hormonal therapy for a b.c. with characteristics like mine and with my low oncotype number.  My primary physician (who knows that my husband and I have a very active lifestyle and always choose a hiking vacation over lolling at the seashore) also supports my decision.   

    But such a decision is--and must be--unique to each woman and her specific case and long-range goals, and should be made after much research (real research in medical journals, not anecdotal blogs) and serious reflection, especially about figures stated in percentages!  One must always ask, "50% of what?" when considering oncotype and life expectancy predictions!  In my case, shortening one's life expectancy (15 years and 3 months) by 25% translates to shortening it by a mere 3 months, or 90 days!  To me, those 90 days are not worth risking a fatal stroke or blood clot--and the time I spend in the gym and walking in vitamin-D-filled sunlight should return some of those 90 days to me anyway! 

  • edwards750
    edwards750 Member Posts: 3,761
    edited April 2014

    This is such a hot topic and not a one size fits all decision. Having said that I am taking Tamoxifen for 2 years; prior to that I was taking Arimidex but dr took me off that drug because it attacks the bones and I have osteoporosis. Tamoxifen has actually built up my bones along with exercise to the point I am out of the danger zone.

     I have Stage 2, Grade 1 IDC. My Oncotype score was 11 and with Tamoxifen my chance of recurrence is 8%. I have to admit I am tired of hearing that one of the reasons we are encouraged to take these drugs is because of some nefarious plot by the pharmaceutical companies to make $. I am not Pollyanna but I will not roll the dice on BC and instead let nature take over as my extra insurance policy. I understand some people have horrific SEs; fortunately other than weight gain and sleeplessness I don't have issues with the drug. Steve Jobs tried an alternate treatment AMA and it cost him his life. Again though to each his own. I don't want to look back and say what if. If your have your doctors blessing so be it but the thing is it isn't their life-it's yours. Diane 

  • Raebae
    Raebae Member Posts: 5
    edited April 2014

    New to Site.  I did extensive research, which is what I learned to do after Diabetes diagnosis 5 years ago.  Anyway, part of my research showed that I had my cancer for roughly 8 - 10 years.  It just didn't show up until I had a mammography.  I chose to not have hormone therapy because I will not damage my health.  The benefit for me using it was also 3%.  No thanks.  If I have a recurrence in the next 5 years or so, it won't be because I didn't use hormone therapy.  It will be because of a tiny little cancer cell; that nothing could detect; until it made itself big enough to be detected.  So, please do research ladies.  Find out if your fears are valid.  I am not afraid.  I am grateful to God it was caught early and intend to enjoy the gift of life. 

  • wenweb
    wenweb Member Posts: 1,107
    edited April 2014

    Raebae,  Welcome to our site.  You will find support in so many different ways.  Sorry that you have to be here :(   When I decided to quit Tamoxifen after 9 months, which was after having taken Arimidex for a year and a half, my onc questioned me as to whether I would blame myself if I had a recurrence.  When I told him no, he said good because even if I had continued on hormone therapy, I could have a recurrence.  I'm sure there are lots of ladies out there that would blame themselves if they have a recurrence.  We just don't know these things and we all have to make our own peace in these very personal matters.  Best wishes.

  • rgiuff
    rgiuff Member Posts: 1,094
    edited April 2014

    Deanna, so upset to hear your news! But also glad to hear that you don't regret your decision not to take an AI.  I did reluctantly take tamoxifen for 3 years, then wouldn't give the AI a chance.  On top of the ravages of going through menopause at the time, didn't want to age my body any further. Felt I was doing enough with my healthier lifestyle. And recently started feeling that those of us in the 6th year were pretty much in the safe zone. Although I have no regrets either, I do wonder sometimes whether I've been a little foolish, as you just never know what could happen.  Hope you are feeling OK and that you may continue to have a good quality of life.

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