Anyone ~50 years old, PRE-menopausal & had ovaries shut down?
My oncologist is proposing this to me (after I finish chemo) so I can start with AI, rather than Tamoxifen... but I think I'd rather go through menopause as naturally as possible. Thoughts? -Renbird
Comments
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I was 52 and pre menopausal and had 2 lupron shots and then started chemo and that put me into menopause. My MO preferred to put me onAI.
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Hi OCDAmy-
Thanks for your prompt reply... : )
How was that experience for you? How long ago? Are you still on AI?
-Renbird
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I am 39. Started Lupron+Arimidex 10 months ago. I was far away from the natural menopause, so have a lot of SEs.
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I am 44 now, but was 43 when I had my ovaries removed to go onto an AI. I thought my life was going to fall completely apart from it....and surprisingly....I was good. Even on the AI, I'm doing well. When I started the AI....I also made a commitment to exercise for 30 minutes every day. I like to think that helps.
I don't know what the future holds, but as I sit here today, I'm very happy with my decision/treatment. Trust me when I tell you that I would have liked to have gone through menopause naturally. But I would have liked to not have gotten breast cancer, as well. I guess that's how I look at it for myself.
Research the SOFT trial if you haven't already. That kind of explains why oncologists like certain premenopausal women to be on AIs vs Tamoxifen. It's hard. You will come to the right decision as you research, talk to women who have gone through it, and think on it. Good luck to you!
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Hi Renbird - I'm from the November chemo group, thought I recognized your name. Thanks for posting the question. I'm coming up on this discussion with my MO hence I'm in this section of the forum. I hope you're doing well with your chemo.
Hi OCDAmy & MikaMika - thanks for mentioning the Lupron shots. I will ask my MO about it as I'm ready for menopause. I know I won't miss the migraines that came with the periods!
-Jo
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Hi!
I was 47 when I began ovulation suppression (Zoladex) so I could take an AI (Aromasin). The average age of menopause is 51, so I took a Zoladex vacation last year when I was 52. Alas, my ovaries were still producing lots of estrogen so it was back to the Zoladex for me.
I'm not really sure how going through menopause naturally is much different than taking Zoladex + AI. Zoladex + AI gave me hot flashes which diminished with time. It also thinned out my bones so I'm now on Prolia to rebuild my bone density. Like anything that changes my hormonal situation (pregnancy, PMS, etc.) Zoladex + AI gave me mood swings, treated with Celexa.
I'll be starting Year 6 in February. It could be worse.
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I would be happy to get my periods back even with migraines. Menopause brought lack of libido and vaginal issues, memory fog, slow metabolism. I exercise, do intermittent fasting, drink a lot of water. It helps with insomnia, muscle and joint pain. But it didn't resolve pelvic and memory issues. Also long term side effects like early heart issues and dementia scary me a lot. I had lobular cancer, so Tamoxifen is not the best choice per two MOs recommendations.
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I'm in my early 50s. My first medical oncologist wanted me to do ovarian suppression and AI. She didn't explain the rationale why so I switched to another MO and started on tamoxifen after I finished radiation. My current MO and I discussed taking tamoxifen for two years and switching to an AI for another five years. I'm still having periods. They're shorter and irregular. I thought they would stop altogether once I started tamoxifen, but they haven't. My current MO left it up to me to decide if I wanted to take tamoxifen or do ovarian suppression + an AI.
I haven't had a lot of side effects from tamoxifen. I don't have joint pain and have minor hot flashes around my period. I take gabapentin so it might mitigate the hot flashes and I try to spin on my indoor bike 3 or 4x/week. I do have insomnia and my brain feels foggy.
Good luck making a decision.
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I was mid 50s but not post menopausal. My MO didn't want to start AI until I was at least 2 years out from my last period After discussion with my MO, I opted for tamoxifen until post menopausal then switch to the AI. Reading about Lupron made me uncomfortable and I didn’t understand how we would know when it was no longer necessary. Also, it was quite expensive and for my age and diagnosis the difference in effectiveness was minimal. I won’t lie, either tamoxifen or menopause have been rough on me - I miss estrogen. I expect to be switched to the AI in the next couple months so I am wondering how the transition will go
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Thank you very much, Kathabus!
I will check out the SOFT trials.
-Renbird
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Thanks so much, FindingOptimism-
Let me know, if you think of it, how things go as you start AI. I wish you a good experience with it.
Be well, -Ren
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Thank you so much for sharing your experience, grdngrl505.
I think I may follow a similar path to yours.
-Renbird
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Thank you, MikaMika, for sharing your experience. I'm sorry it's been such a difficult one. : (
I hope in time things get better for you. Be well. -Renbird
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Hi JoW888-
You must be done with chemo by now! Me too! CONGRATS! I hope you are feeling well and can figure out next steps with relative ease. -Renbird
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Thank you for sharing the details of your experience, Elaine Therese, much appreciated. : ) -Renbird
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Hi JoW88-
Hope all is well. Have you made a decision yet re: hormone therapy? (AI? Lupron? Oopherectomy?)
-Renbird
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Hi again ladies-
Question: Have any of your oncs said they don't believe there's an effective way to "test" for true menopause?
My oncologist says testing is very unreliable, and wants me on AI and Lupron for 5 years if possible, although she says most women go for the oopherectomy after a while as the shots and scheduling are no fun.
What I don't understand is: How do I get "off" of Lupron if she doesn't think there's a way to test whether I've gone into menopause? It seems she expects me to stay on it all 5 years, and just assume I'm still producing lots of estrogen. At 49, and post chemo, I imagine I could be done with my period now, or perhaps in a couple of years. That seems like a whole lot of Lupron shots and chemicals I might not even need.
That's why I prefer to start with Tam and switch to AI once I'm through with my period. I don't like the idea of messing with my body that much for years, potentially unnecessarily, if possible.
Thoughts?
-Renbird
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That's a very interesting question, and a fair one. I hope someone comes along with some insight.
I was 43 and there was no talk of "getting off" the shots. It was proposed that I could do the shots and then at some point have the oopherectomy. I never liked the idea of the shots and so I just went straight to the surgery. Definitely wasn't the recommended route, but it worked well for me. I just felt that I wanted to get as much of the cancer's food out of my body as possible since I had 8mm in a node. If I was node negative, I would have probably felt differently.
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I had chemo, then MO put me on Tamoxifen and Zoladex injections. I didn’t have a period after my first chemo, but they don’t consider you in menopause until you’ve gone at least a year without a period. After 4 months of monitoring my estrogen levels, my MO changed me to Femara and Zoladex injections. I was on Zoladex from December 2019 to March 2021, so about 16 months. My MO has been testing my estrogen and a few other levels monthly and at my visit this week discontinued the Zoladex. She said my estrogen levels (and the others she was watching) have consistently stayed very low so she wants to stop the Zoladex as she believes I’m in menopause. If my hormone levels start to go up, she’ll put me back on it. I’m 48.
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