37 year old with early stage cancer and regretting doing chemo
***Disclaimer- this post is not meant to scare others into not doing chemo. This is just my experience and I am venting in this post and looking for support****
I was diagnosed with IDC stage 1 ER+/PR+ HER2- breast cancer at 36 years old. I had a lumpectomy with clear margins and no cancer in my lymph nodes. My oncotype score was 27 so all oncololgysts that I consulted with recommended chemo.
I finished 6 rounds of CMF chemo in April of this year. I'm now 37 years old. I took Lupron during chemo to reduce the chance of permanent chemopause. My last Lupron shot was in March right before my last chemo treatment. My period has not resumed and I have no idea if it will. I had my hormone levels checked several times since and each test result yield almost no estrogen in my system and menopausal FSH levels.
The menopausal side effects have been bad. I've suffered from hot flashes, weight gain, joint pain, sexual dysfunction/no libido, and dry vagina.
I know my period might come back, but the thought of being in permanent menopause at this age severely depresses me. And there is no sign of it returning. I've also heard that CMF chemo is harder on the ovaries than TC and AC.
I had read about the debilitating side effects that can occur with hormonal treatment, but figured that if they were too bad, I could just quit the medication. I thought that the side effects from chemo would be temporary and that after treatment I would feel like my old self. However, I didn't realize the risk of premature ovarian failure from chemo. I feel like none of the doctors that I consulted with warned me of this. If chemo has indeed caused permanent menopause at my age, I seriously regret doing chemo. The extra percentage points of non reoccurrence that chemo “might" give me is not worth permanent menopause at my age
Comments
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I am 61, so much older. I had a similar diagnosis in April and opted out of chemo w/ oncotype of 29.
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Fukcancer, I am so sorry. It's still early yet, so I hope your body recovers and returns to somewhat normal.
Dorothy, a 29 Oncotype at age 61 is very different from a 27 Oncotype at age 36. When you factor the age difference into the metastatic risk equation, someone who is 25 years younger with a similar Oncotype score will have a significantly higher risk of mets. Within this range of scores, the generic Oncotype report comparing 'over 50' to '50 and under' shows about an 8% higher risk of mets for those who are younger. I wouldn't be surprised if using the Oncotype RSPC model and inputting actual ages (36 and 61) would take this difference to 15 points. I understand Fukcancer's regrets, but the decision to skip chemo at her age would have been hugely different from the decision you made at age 61.
We all make the best decision we can at the time, with the information that we have. Fukcancer, in your shoes at your age, I'm sure I would have made the same decision.
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Beesie, I knew age would make a difference, but didn't realize it was that big. If total benefit might have been 15%, I would have been likely to choose chemo also
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Fuckcancer, I love your username and agree with you 100%!
I have been lurking quite awhile, and your post prompted me to join this community so that I could respond. When I was 36 years old (I am now 58) I was diagnosed with TNBC and did 6 rounds of CMF. I don't remember the timeline, but my period did resume, and I went through natural menopause at around 50. Try to relax and give it some time. Wishing you the best!
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Fukcancer,
We are here to hear you. 💜 It's a precious forum we have on this site.
When I was diagnosed at 46 I was already at least two toes deep in perimenopause. The BMX and treatment ferried the process along. My oncologist and endocrinologist were convinced my period would return. I haven't seen one in over two years.
My "treatment" was one singular lightning round of chemo. I went in for my first infusion of dose-dense AC and, as my dear friend jokes, I woke up a month later.😊
I was a mess and did not continue treatment. I am triple negative and it was a decision that I made. No chemo.
It took a year until my digestive system felt back on track again. A new track though. I have mementos from that one lightning round - digestive wierdness here and there, some neuropathy in my feet, and a little gum pigmentation.
You made a good choice with chemo and now is time for patience with the process. We are all here doing it. Living with the mementos.
Time and patience are important. Give time time.
And Fukcancer, thank you for everything you shared. It's an experience and you touched me deeply.
Seekthegood -Brava to you for logging on to the forum and sharing. All of us, and especially tnbc girls, gather much encouragement from folks like you. Thank you.
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I agree with Beesie...you make the best decision you can with the information you have at the time. You made the decision that most of us would have made with your oncotype score and age. Don't be hard on yourself. Hindsight is 20/20.
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SeektheGood - We just wanted to send a warm welcome to Breastcancer.org. We're glad that you decided to jump in the discussion boards to share your story and support, thanks! If there's anything you need help with or have any comment for us, please feel free to contact us. We're always here.
Best wishes,
From the Mods
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We seriously need better treatment for this disease. My oncodx score was 34 and I was 53 at diagnosis I chose no chemo snd did AI drugs. 7 years later I regret doing hormone therapy but I am getting joint pain relief it took forever, 3 years I been off the drugs.
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Fukcancer, hang in there - it can sometimes take several months (or even a couple years) to get your period back after chemo. Don't despair yet. It is really hard and unfair for us younger ladies in that regard - my heart goes out to you. *Hugs*
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thanks everyone for your replies. I’m trying to remain positive and hopeful but every day that goes by with no sign of my period and continued menopause symptoms makes me lose hope.
Seekthegood, your comment is very inspiring. Thank you for telling me your story
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Update. I just got my most recent bloodwork taken. Estrogen is < 6 pg/mL. LH is 50.5 and FSH is 77.1. Over the past 6 months the estrogen has not risen and the LH and FSH keep steadily rising and getting more menopausal. This is so distressing :
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Don’t lose hope - I was 47 when diagnosed IDC Triple Positive. Had six rounds of TCHP and continued H&P for a year. Lost my period after round 3 of TCHP. Started Tamoxifen four months after that. Fast forward two years - had blood tests done that confirmed I was in menopause. Blood tests were done by my Oncologist and OBGYN. Started an AI had terrible side effects - I could put up with the joint pain but went into a terrible depression. So off the AI and back on Tamoxifen. After two years went to have a sonogram of uterus for surveillance. The sonogramist noticed a cyst on my ovary and said it probably due to ovulation. Lo an behold I have my period back every 26 days for the last 3 months. I’m not to pleased because I suffer from PMDD and I’ll be 50 next month. It took a long time for me to feel normal again. My digestive system took a whole year. I was told by 2 dr I was in menopause. You might be surprised, I’ll keep my fingers crossed for you
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Just finishing in April, side effects are still a huge part of your life. I am 16 months out and, this month, feeling better than in years. I could not even put a finger on any lingering side effects (maybe the tinnitus and hearing loss from Carboplatin?). But that is all.
To note, this Tuesday, I cooked dinner on a weeknight, after working all day, for the first time since December of 2017. So, yes, I feel like I've finally rounded a corner.
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Hi, I totally understand your feelings! I know of women who went on to have children after BC. I don’t know all their details but it’s happened. Meanwhile I came across this thread bec I feel confused about my hormone levels. Perhaps I should start a new one but I’m afraid I’d get a lot of posts that might scare me.
Was on AIs. They were debilitating for me. I’m afraid of the SEs for tamoxifen. No dr has really convinced me of the possibility of blood clots and endometrial cancer being far out. So I’ve been on a self imposed break.
Resumes with another dr since my insurance changed. Said she’d try me on exomestane (sp?) and resume lupron injections again. Just waiting for my insurance to authorize it. Ok let’s try it. But I just got my hormone levels back. The FSH is 12.7 and estradiol is 26. This sounds like mid-cycle rather than menopause altho I’ve not had a period since April 2015. I am 49yo in November. Looking for your thoughts on this. thank you al
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I’m 38 diagnosed 8/19 had double mastectomy one positive lymph node removed it was positive they said no chemo but recommended radiation with hormone therapy I am sorry you had to go thru chemo I don’t want to go they radiation but I’m ok with the hormone therapy it’s scary but i want to turn it down any recommendations since they say it’s a chance it could come back I’m
Like yes and a chance it might not
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MaryJC, there is a pretty good thread on Aromasin (Exemestane) if you do a search. I have been on it just over a year after switching from Tamoxifen. I have some achy hands and feet sometimes but it hasn't been that bad. Hopefully this is an AI that you can tolerate too. I wish you well
https://community.breastcancer.org/forum/78/topics/783749?page=185#idx_5542 -
DorothyB - I also am up there in age - 59 and got a 28 Oncotype score. Doing chemo reduces my risk of recurrence from 17% to 10% MO says. That seems to me to be so little for the price I will pay for a year and maybe the rest of my life. Also, my life span realistically is only about 20 years more. For these reasons I have been extremely leary of chemo. I just agreed I'd do chemo, but still unsure. Biggest fear of chemo is CIPN - Chemo Induced Peripheral Neuropathy. Pisses me off there are NO studies of how many people get this - only stats my MO says is 30-40% get it temporarily. She tells me that if you still have it one year after chemo, it's permanent. The "Rant" thread about this tells some of the story. CIPN is the biggest SE threat with Taxotere chemo, and I'm supposed to get 4 cycles every 3 weeks. The doc wrote down the SEs and put hair loss, fatigue, nausea and vomiting and last, peripheral neuropathy. I don't believe she would've ever brought CIPN up if I hadn't and don't believe they tell patients enough about this danger. They also have NO studies on women over 50 who do NOT do chemo and only take AIs. Us older women are not studied enough and I honestly feel it's ageism-discrimination.
What convinced you to not take the chemo? Are you on an AI?
Thanks so much!
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kaaadams, the majority of women diagnosed with breast cance are over 50, so it would follow that most of the studies are on women over 50. Age and health are taken into consideration in recommendation for or against chemo as well.
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kaaadams, Look at this thread: https://community.breastcancer.org/forum/69/topics/873778?page=1#idx_26 for details. I opted out of chemo because I felt like the benefit for me was not worse the cost (the "for sure" side effects plus the possible worse stuff). I don't have children or grandchildren, so quality of life is more important than quantity for me. I am on tamoxifen - was building up and was at 12.5 mg but decided yesterday to go down to 10 mg and stay there.
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Update: I finally got my period! 9 months PFT. I never thought I’d be so happy to experience boating, cramping, and gas!!
Now the next step is deciding on tamoxifen. I am considering rejecting it. My body has been through enough
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Congratulations on having cramps again!
I hope you will consider Tamoxifen. I think side effects can seem scarier because people tend to post when they aren't doing well on it. I feel as if the tamoxifen makes the chemo worthwhile. Going through all that and then not taking the next step seems harder than doing the med/
But if you try it and hate it, that's different.
Your cancer isn't lobular is it?
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Fukcancer, I'm SO happy for you!!! I hope I'll be premenopausal again one day too. I've been on Zoladex since chemo last year so I don't know if my ovaries made it through or not. I hope so.
Tamoxifen was okay for me, after an initial adjustment period. My NP said it can take 4-6 weeks for some initial side effects to level off. I found that to be true. Anyway, just keep in mind that it might take a while to see how you really feel on it. Also, my period did become irregular on Tamoxifen - I'd get it every six weeks or so. I just thought I'd mention that so you're not as worried if that happens to you.
Best wishes whatever you decide.
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yay for girly parts making a comeback.
I was 37 when I was diagnosed- and when my ovaries started working again after chemo they were MAD. A few rough months but we finally got into a groove again (and ironically more regular than they ever were back when I was trying to get pregnant in my late 20s) 🙄 I’ve been on tamoxifen for just over six years and we finally found a workable relationship after the first year or so. The road hasn't been without strange side effects from time to time - but nothing so bad that I’ve wanted to stop. Hang in there!
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new update: the rollercoaster continues. I’m scared I’m now in perimenopause
my periods are extremely irregular. I bleed lightly almost every two weeks but I used to have moderate bleeding very regularly before chemo. I also saw a fertility doctor and only have one visible folicle on each ovary. Not good, considering I should have way more at my age. I’m hoping my body is still recovering from treatment but I’m over a year out and he doesn’t seem to think it will improve much. I am beyond devastated.
I am not taking tamoxifen or any hormonal therapy at this point.
For those of you who got your period back after chemo, did it take awhile to normalize?
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This probably won't make you feel any better, but many women naturally enter perimenopause in their late 30s.
Sorry you are going through this. Breast cancer is the gift that keeps on giving.
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Beesie is correct. I went to a fertility specialist at age 35 and he explained to me that at my age, getting follicles is like scraping the bottom of a more or less empty barrel. Unfortunately, fertility really goes way down around that age naturally. I was diagnosed with BC at 49 and yes, it got me from peri-menopause into menopause. I don't know if chemo sped it up, but I was definitely well along the way.
Having said that, I would not give up hope yet.
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Fukcancer, I really hope you get better. We need better treatments that don't take away so much from us. I think many of us have that thing that we REALLY don't want to lose to cancer. For me it's the ongoing threats to my hand and arm function (I'm a musician) that make me most devastated.
As an aside, I saw a fertility specialist when I was first diagnosed at age 32. I was surprised to learn that even then I was a bit past my prime. What a disconnect from all the years I was told "don't have kids too young, wait until you're established, you have plenty of time," etc., etc. Now I feel like that was one of the biggest lies I was told in life. But I think that line was repeated so often to young women my age, that we never thought it might be otherwise. It makes me sad. Anyway, that's my rant about that.
Thanks for updating us, and don't lose hope yet. Your body is still trying to heal, and it can take a long time.
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