Tamoxifen vs. Lupron

Hello,

I have talked about this briefly in the young breast cancer forum, but I figured I'd get more advice on it here. I am a 27 year old survivor who has just finished chemo and rads and am trying to get a start on hormonal therapy… you can see my stats in my signature for more info. Being diagnosed young, please keep in mind that I eventually want to start a family sooner rather than later.. so knowing that bit of info here is my concern:

I had a pelvic ultrasound where they found a complex cyst. I started tamoxifen and was on it for a month. I had a repeat ultrasound and developed two new cysts and the first one got bigger. Cysts are a common side effect of tamoxifen… seems too coincidental not to be caused by it IMO. In agreement with my onc, we stop tamoxifen for now to see if they resolve. Two weeks later I have my first post chemo period (yay). I get a repeat ultrasound in a few more weeks. I'm crossing my fingers they are gone/smaller especially since menstrual cycles can help with that. Otherwise, if they get bigger I'm going to have to get them removed. I have had terrible pain and cramping, even ruptured cysts (free fluid was found). I am scared to re-start the tamoxifen. I do not want more cysts and do not want to have to face the scary chance of having an ovary/part of an ovary removed if they get bad. I need my ovaries healthy since I want children…

Another option is lupron. I know women have used it to suppress and protect ovaries during chemo, but has anyone used it after chemo as an alternative to tamoxifen for hormonal therapy? How long after using it does it take to regain ovarian function? Shutting down my ovaries is also scary and sad because I just got everything feeling normal again. What a pain…

My onc definitely recommends hormonal therapy. My adjuvent results show that it will decrease my chance of recurrence by about 8 percent and my 10 year survival rate by 3 percent. I have contemplated not doing either treatment option, but I am somewhat torn.