Let's Talk About Hormone Therapy

nem126
nem126 Member Posts: 109
edited February 2018 in Young With Breast Cancer

Hi All!

I'm interested in your input, as younger women with BC. I'm in radiation now, and when that's over I'll start hormone therapy. I've been given the option of tamoxifen, or ovarian suppression shots combined with an AI drug.

It would be a bonus not to get my period, but I'm also a little worried about being instantly flung into chemical menopause at the ripe old age of 32 with the AIs.

On any hormone therapy, my MO recommended 5-10 years.

Any personal experiences with these? What were your side effects like? Trying to compare one vs the other. Thanks so much!!

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Comments

  • gb2115
    gb2115 Member Posts: 1,894
    edited February 2017

    I'm 4 days into taking Tamoxifen, having finished radiation. MO said I would take it for 5 years, and that at 5 years, we'd discuss stretching it out to 10. I haven't had any side effects yet other than a weird dizzy spell the first day, that could have been caused by literally anything, including the anxiety I had with taking the first pill, LOL.

  • Jezikah
    Jezikah Member Posts: 93
    edited February 2017

    I have 2 more rounds of chemo and then I'll be doing the hormone therapy, too. My MO said tamoxifen for 10 years, but also interested to see what other people have done - if AIs are a better choice. I had eggs retrieved prior to chemo and I'm hoping to have another child in a few years through IVF, so I'll have to see how that factors in as well... I'll be following this to see what others say.

  • nem126
    nem126 Member Posts: 109
    edited March 2017

    Thanks for your responses!

    Jezikah, I'm bumping this up in hopes we get more people participating in the convo! I have a second opinion appt at Penn next week so I am going to ask them their opinion on hormone therapy as well.

    gb2115, how are you doing now that you've been on tamoxifen for a week?



  • LM070917
    LM070917 Member Posts: 323
    edited March 2017

    I've been on al (arimidex) and zoladex for over a year now. For the first few months I had hot flushes, insomnia and some bone ache, but by the 7 month mark all had calmed down considerably. It's very manageable now and I feel pretty much normal. I'm 36 now

  • BlueKoala
    BlueKoala Member Posts: 190
    edited March 2017

    I'm doing Tamoxifen + Zoladex, until I get my ovaries out, then it will be an AI. Started just before Christmas

    The hot flashes are probably the worst part.

  • elise24601
    elise24601 Member Posts: 155
    edited March 2017

    If I were stage 1 or even 2 I would either skip hormone therapy or just do tamoxifen. But at stage 3c I feel I have to do OS plus AI due to the studies showing they are more effective for young women. I sure hope they work. I am expecting the worst in terms of SEs because so far every treatment (surgery, chemo, rads) has been far less tolerable than my doctors led me to expect! Really not excited about feeling and looking much older, which is what other patients in their 30s have told me happened to them :(

  • nem126
    nem126 Member Posts: 109
    edited March 2017

    Hi All- thanks for sharing your experiences!

    Just an update:

    Went to my appt at Penn- they are recommending Tamoxifen bc they think the side effects will be less. They said do that for 5 years, and at that point they might have better options or more research on OS and AI in young women. After 5 years I can see where I'm at, and either continue on the tamoxifen, or go to an AI. Although, I'm not sure I want to be on any drug for 10 years!

  • nem126
    nem126 Member Posts: 109
    edited March 2017

    Elise, wishing you the best!! You never know- maybe the side effects won't be terrible. I feel like we are always just rolling the dice and hoping for the best with this BC stuff... it's unsettling. Hang in there! I don't think the drugs will make you look any older. You might feel it for a bit but hopefully that subsides after being on them for awhile- that seems the experience of most people. First few months suck then it gets better.

  • gb2115
    gb2115 Member Posts: 1,894
    edited March 2017

    Hi nem126!! I've been on the tamoxifen for what, almost 2 weeks now, 2 1/2 I think. No side effects yet, well, a dry eye problem, but I think that was pre-existing and it just got worse with the cold weather. It will be interesting to see if some side effects develop as the medicine builds in the system.

  • nem126
    nem126 Member Posts: 109
    edited March 2017

    gb2115, thats GREAT!! Thank you! You are giving me hope :)

    Please keep us updated as time goes on as to how you are doing!

  • nem126
    nem126 Member Posts: 109
    edited March 2017

    Hi! Can anyone with experience tell me how tamoxifen affected their periods?

    Also, anyone getting the paragard IUD? I'll have to get that in the next few weeks since I can't be on hormonal birth control anymore.

  • glowgene
    glowgene Member Posts: 37
    edited March 2017

    I'm 27 and I've been on arimidex and zoladex for 2 months. To second Lottemarine's post, I've also been experiencing the hot flushes (particularly while I'm trying to sleep), insomnia and body aches. They're pretty rough at the moment, though I'm just getting back into weight-lifting after surgery/treatment so I think my symptoms are being compounded by other factors.

    Thank you, Lottemarine for sharing your experiences :). Makes me hopeful that the worst of this will be over at some point in the next few months/year.

  • Hopfull2
    Hopfull2 Member Posts: 418
    edited March 2017

    hi everyone, I just started tamoxifen yesterday. I read the SE. But I'm still recovering from SE from chemo. Especially muscle pain. So I will not be able to tell if my SE are still from chemo or will be from tamoxifen. My period still has not return and I'm 4weeks PFC. I hope I sail through the tamoxifen with no problems.

    Hugs.

  • Jinx27
    Jinx27 Member Posts: 238
    edited April 2017

    Hey Ladies,

    Its nice to see other survivors and welcome! Hopefully we all can be of some support to one another.

    I finished chemo back in April 2016 for ER/PR positive breast cancer, that summer I was medicine free and started taking Tamoxifen in Sept 2016, for me Tamoxifen wasnt too bad, I experienced hot flashes and weight gain but I controlled the hot flashes, fatigue with marijuana, exercise and acupuncture.

    My oncologist and I then decided to start Arimidex because of the SOFT Trial results, Arimidex is a bit different, I gained more weight and have osteopenia in my hip and lower back so I started a bone strength supplement.

    If you all have any questions please ask!

  • gb2115
    gb2115 Member Posts: 1,894
    edited April 2017

    I think my period was like a week late this last time, but am going to keep my eye on it. It was really messed up because of a run of steroids I had to have.

    I've been on tamoxifen for 6 weeks, approaching 7, and so far have developed extremely dry eyes (I wonder if radiation didn't help with that) which I am being treated for by an eye doctor...and the hot flashes have started. I had like 3 in a row last evening, about an hour apart. And then they wake me up in the middle of the night. Sigh.

  • Butterfly1234
    Butterfly1234 Member Posts: 2,432
    edited April 2017

    Ask your optometrist or MO about using retaine eye drops by OCuSoft.It's preservative free. I wouldn't use visine. My optometrist said it's the worse thing for your eyes and causes a rebound effect when you stop using it. That happened to me. Now it's retaine. Kind of pricey but worth it, always check with medical docs first. Hope this helps

  • gb2115
    gb2115 Member Posts: 1,894
    edited April 2017

    Hi butterfly! That's what I use, Retaine MGD!!! Great product, though it took awhile to get used to using eyedrops. Now I just pop them in no problems. My corneas had visible dry patches on them, keratitis she called it, and at last check those had healed thanks to the drops!!! I also rarely wear my contacts. it's just not worth it.

  • Kiki57
    Kiki57 Member Posts: 4
    edited April 2017

    Hej everybody,

    I was wondering if there is anyone who did not take Letrozole or Tamoxifen...

    I just stopped Letrozole after a year , they suggested Tamoxifen, which I intend not to take...

  • Butterfly1234
    Butterfly1234 Member Posts: 2,432
    edited April 2017

    I have a question that was posed on another thread. Is anyone taking name brand Arimidex and not the generic Anastrozole and noticed a difference in side effects?

  • nem126
    nem126 Member Posts: 109
    edited April 2017

    Hi All,

    Kiki57- I just finished radiation yesterday. I'm going to Hawaii and then plan to start tamoxifen when I get back. I wasn't about to start that on my vacation :) Depending on how bad the side effects are, I may/may not continue with it. I figured I'd at least give it a shot in case I am somehow one of those lucky people with limited side effects. We shall see.

    Super curious to see how tamoxifen affects my periods. I had to get the paragard IUD put in since I can't be on hormones... and let me tell you... it isn't pretty! If tamoxifen can lighten this up or space my periods out a little that would be nice. Maybe I'm a dreamer! haha!


  • Kiki57
    Kiki57 Member Posts: 4
    edited April 2017

    Hi nem 126, dream as much as U can, he dreams come true for the most! ehjoy your vacation but take care of sun after radiations..hope you got the instructions from the radioteraphist..

  • Hop3ful
    Hop3ful Member Posts: 6
    edited April 2017

    Hi Everyone,

    I just got my oncotype score yesterday and my Oncologist prescribed Tamoxifen to start taking.  My husband and I desire to have another child.  Does anyone know if it's safe to delay tamoxifen and get pregnant first?

    I really appreciate your responses.  Best wishes to all!

  • gb2115
    gb2115 Member Posts: 1,894
    edited April 2017

    hi Hop3ful,

    I think that's a question for the oncologist. I was offered I could take tamoxifen for a few years and then stop to have a child, but because of my age it's unlikely we'd want to.

    Nem---so far my periods are unchanged except ovulation pain from hell. Only 2 months on it though. I had hot flashes for a couple weeks but they went away. Interestingly they coincided with mid cycle and then tapered. I am about to start a period soon so I am curious to see if the hot flashes come back mid cycle.

  • Knitpig
    Knitpig Member Posts: 42
    edited May 2017

    I think most oncologists want you to be on Tamoxifen for at least 2 years before you break for a pregnancy.

    Nem126- Our diagnosis and treatment plan is very similar.

    I've been on Tamoxifen for about 5 weeks now and have very mild, barely noticeable side effects. I have the option to do OS+AI in a few months when I have my follow up. I'm not sure I want to do it and I'm leaning toward not pursuing it. Yes, we're young and there OS+AI has shown a benefit over tamoxifen alone, but I don't know if I feel like the benefit is worth the side effects and risk of bone loss. If my cancer had been more agressive or if I had lymphatic/vascular invasion I would do it without question.

    As for periods I had a mirena IUD installed in 2015, and before that I was pregnant/breastfeeding so i haven't had a period since 2013. I had my IUD removed in March. I only just got my first period (ugh, I didn't miss it at all!) and it's much lighter than I expected. I guess that's the tamoxifen? I hear the paragaurd is a good method of BC for us ER/PR+ ladies.

  • lidabit
    lidabit Member Posts: 26
    edited May 2017

    I just started AI+OS. My doctor had me try the 1 month Lupron on its own to see how I tolerated it before starting anastrazole Or had the 3 month formulation. It hasn't been so bad. Honestly the hot flashes I had during chemo were way worse. I am worried about the bone loss, but I guess one step at a time.

  • Shawnp1016
    Shawnp1016 Member Posts: 5
    edited June 2017

    Hi,

    Curious to see if anyone is on Arimidex and Lupron shots (monthly). I was on Tamoxifen for 2.5 years and it started to cause liver damage (quit January 2017). Now I am getting Lurpon shops to bump me into menopause and take Arimidex daily. I am miserable. Weight gain, joint and bone aches. I just turned 40 and will continue this for another 2 years.

    thanks for your advise!

  • GreenEyes81
    GreenEyes81 Member Posts: 389
    edited October 2017

    gb2115 - how is it going at this point? Did the SE taper off? On the verge of starting Tomox myself....just don't know. I don't want it, simple as that. lol

  • gb2115
    gb2115 Member Posts: 1,894
    edited October 2017

    It's really ok. I still have 6 week periods (the time in between, lol), hot flashes only in the middle of that. Dry eyes are managed though eye doctor thinks it was the radiation that set it off.

    Otherwise my hair is thinning a little now and I have been having some dry mouth. I don't know for sure if the tamoxifen is the cause.

    I will keep plugging away. I had the one positive node but no chemo, and was 100% er/pr positive. And I just had a family member get diagnosed with mets after nearly 2 decades of NED...so yeah, I am grateful to swallow that pill every morning, even with side effects. I would like 2 more decades of my own!!

  • GreenEyes81
    GreenEyes81 Member Posts: 389
    edited October 2017

    Thanks for replying! What do you mean by 6 weeks periods? Do you not just take it everyday?

  • gb2115
    gb2115 Member Posts: 1,894
    edited October 2017

    Periods as in menstrual cycles!! They used to be 4 weeks on the dot, now it's 6 weeks.

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