Anyone regret not taking the AE's ?
Comments
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I really hope I get some feedback on this question from women who were estrogen and/or progestin positive that decided not to take the anti estrogen therapy.
According to my onc I have 10% chance of breast cancer re-occuring. The 90% sounds really good to me right now and there has been NO focus on this percentage rate by any of my medical professionals. Only from me.
And I do understand that it is just a number regarding breast cancer and not METS. But I have already decided I will never do chemo again no matter what happens.
QOL is becoming more and more paramount to me the longer this journey becomes and the worse I feel because of it's "remedies".
I have to make an important decision.
Please share yours with me.
Anecdotal feedback is incredibly vital to me right now.
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I am on AE. I figure there are no 'do-overs' with this beast. I am doing everything, I can to prevent it from coming back. Even if it is only 10%.
Yes, menapause stinks. I gained weight, I have hot flashes, blah blah...
But I am still here. 3 years later. I need more time to raise my boys. So I did everything I could/can.
Janis
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I'm one of those 90% girls too but it's important to me to stay out of that 10% slot. I've already had one pretty significant mets scare (in my eye! Benign, thank God) which really pulls you up short and forces you to think about the possibility of mets too.
QOL is important but survival is more important. I started out on Arimidex and was switched to Femara after I developed severe joint pain and things are much better----really have no SEs from it. My point would be that if one affects you negatively there are always others to try.
Janis has her twins---I have my beautiful little grandbabies---want to be around to spoil them rotten as long as humanly possible. I'm 2.5 years out----the journey does get better and more tolerable.
Jeannie
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I am not taking them, but my dx was quite different from yours - Stage 1b, no nodes, lump/rads, no chemo. I did have a hyst, figuring that would be sufficient to control the estrogen (it was like 90%). Because of the hyst, I am menopausal but I was peri-menopausal before dx, so I already had an idea. Yes, I have gained weight, hot flashes, achy joints all due to lack of estrogen. I do not regret my decision to not take the AEs at all. I am just about 2 years out from dx.
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Hi Lionessdoe,
In answer to your question, I did not take AI or tamox. I was diagnosed in April 07 had lumpectomy and 21 rad tx 4 boost. My bc was stage 1, grade 1 tubular ductal, ER+, no lymps and clean margins.
My onc told me that my reoccurace would be 1% per year w/o meds. She told me tamox was not good for me because of the side effects and that I should wait until menopause to take AI which are better according to her. Well, the side effects of these meds scare me and my QOL is more important for me.
I have been exercising very day since I was diagnosed, changed my eating habits and cut out red meats, dairy and all soy products. I take vitamins daily and I have never felt better. I have lost wt and totally toned up my body with exercising and I have minimal hot flashes now. Excising has decreased my estrogen level and body fat. This is my choice to do this.
I feel that I made the right choice for me.. and for now I will take one day at a time and enjoy my life to the fullest.
Good luck on your decision. Let me know how you are doing.
Take care,
Blackjack
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Hi - I was dx 10/04, stage 1, 0 nodes, ER/PR+. Did chemo, rads, Oopherectomy, and took Arimidex for 2 years. I recently stopped taking Arimidex for a variety of reasons...but it's certainly a personal decision. I have always led an active lifestyle, which was being impaired by severe hot flashes and joint pain. I don't have kids, so it's probably easier to make that decision.
Good luck to you.
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When I had my very first mammogram at age 39 (to establish a baseline) I was diagnosed with DCIS. For treatment, I had lumpectomy and mammosite radiation and started on Tamox. After 3 - 4 months of tamox, I decided to stop taking it due to unbearable SE's. The odds of recurrence seemed so low to me, that it wasn't even a difficult decision to make!
Then I had my first 6-month follow up mammogram, and they found a new tumor in a different part of the same breast. I'll never forget the radiation oncologist saying that I fell into the "unlucky 3%" to have a new occurrence so soon.
After that, I was no longer comfortable with percentages. After all, I had a 97% chance, according to the stats, of NOT having a new occurence.
The second tumor was invasive so I had to do chemo and external rads. Since I knew tamoxifen did not agree with me, I decided to have a hysterectomy so I could try an AI. I have been taking Arimidex for 2.5 years now with few SE's. Yes, I feel "old" because of some joint pain, but it's tolerable. Much more tolerable for me than Tamox was.
I don't have children, but I do love my life and want to be here as long as possible. Like Janis said, there are no do-overs when it comes to fighting this disease.
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I refused Tamoxifen because it can lead to cornea/retina problems and I already had a detached retina (for no apparent reason) when I was 50. It's nearly five years since diagnosis and I've been doing fine.
Catherine
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I was diagnosed in March, 2007 with IDC, that put me in the 16% stat about women being dx. Having a masectomy combined with chemo gave me a 60% survival rate. I had radiation and started with Arimidex after my last chemo in July, which gave me an 80% survival without reoccurance over a 20 year period. While that may look like pretty good odds, I still worry that I will again fall into that smaller percentage someday. remember in order to have QOL you need to be L. I've only been reading and posting on this forum for a short time, but in that shosrt time I have read success stories, but I've also read some postings that have broken my heart.
You are entitled to decide what you feel is right for you, but make sure you've done you homework and are completely comfortable with your decisions. Good luck and keep posting.
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I have to agree with Gina - no matter what, it is your decision and you have to do what is best for you, just as I did what is best for me.
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I was dx with stage II IDC in 1998, no nodes positive, did 4 A/C, 4 Taxotere and 6 weeks of rads. I had a low rate of recurrance. Here I am in 2008 and have mets to the bone. I will now deal with this disease until my death be it from cancer or some other cause. I always said I would never do chemo again but now that my cancer is back I have reconsidered that. I am only 45, my youngest is 13 and my husband passed away so I plan on being around a long time for my kids.
I was not able to take tamoxifen and AI were not available in 1998 so I really didn't have any options. I wish I had some options because now I am limited.
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Thank you all so much for your replies.
I have decided to give it a try, but I will not begin with the typical initial starting dosage. I will start small and titer myself up and watch very closely for dangerous adverse reactions.
Adverse reactions are not the same as side effects or allergic reactions. Adverse reactions mean that some of us react completely differently to a med than most do; differently than what the med is intended to incur. This is my history.
I guess for me it really boils down to survival is not as important to me as quality of life. If I am forced to choose, I choose QOL. But that line, that crucial line that separates the two is yet to be crossed. I will know when I have crossed it. I will know what to do. I'll have a moment when I just know.
Your feedback has helped enormously.
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I've been on Arimidex since December '06....in fact, I wanted to be on this drug so badly I had my ovaries removed so I could take it. So far no major side effects, except it is difficult to lose weight. I had a bone scan on Tuesday and my bones are good. I'm hoping if there's no bone damage, they'll let me stay on it longer than 5 years.
Good luck to you!
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I chose quality of life over servival. I'v now had another lumpectomy on the other breast. Luckely that has turned out to be very low grade.
The big scare was when I lost most of the sight in one eye. That turned out to be a virus infection.
I have no regrets, I have done what was right for me. I need to work and pay the bills. I feel well and not only work full time , I also look after my 4 grandchildren to allow their parents to work extra hours. I take care of my disabled husband and still find time to have some fun.
We each have to do what we feel is right. However I might feel different in a few years - at least that is what my onc tells me.
Harvey
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So far I have had no luck with the AI's. Horrible side effects from hyper-hyperactive to so much back pain I could not sleep at night.
Next up is a tamoxifen metabolizing test and genetic testing for the BC gene. Hopefully I will not have the gene and will try Tamox if I can metabolize it.
I led a very healthy lifestyle before DX. Not overweight. Serious runner. Ate a lot of organics as well as no red meat. Took lots of vitamins, etc.
I pumped it up a little to more organics, no tap water and more supplements, but not sure what else I can do on that front.
If I have horrible SE's from tamox, I will probably discontinue. I am 56 and QOL is pretty important to me. My rate of return without hormone pills is 13%.
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So far I have no regrets on stopping Tamox after almost a year on it. I eventually got just about every SE listed, after having none at first, and my QOL was just not what I could live with. We all make the decision that is right for us. Good luck to you.
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I just want to gently disagree with Catherine's post about cornea/retina issues and tamoxifen. I had a detached retina when i was 29. Of course I had a long talk with my eye doc before going on tamox and she said it has absolutely no effect on getting another detached retina. There is a rare side effect of retina deposits, but that is so rare she's never actually seen it in her practice and it doesn't lead to detachment in any event. I've been on tamoxifen for close to 3 years and my retina is fine.
Tamoxifen has been linked in rare circumstances to cataracts. I had a cataract before bc treatment and it hasn't gotten much worse since I've been on tamoxifen. My feeling is that cataracts are so easily treated, and advanced bc not so much, that it seems well worth the risk. -
Just as Janis has said and many others on this board...there is no rhyme nor reason to this cancer we all share. If there were...I ,being IIIc with 22/22+ nodes ( just reread my pathology ) would have mets by now and others who were stage O and no nodes involved would not be stage IV . I cannot rely on the stats and %'s .I too, will do everything possible ..whatever is offered to me to remain in this world....whatever it takes.....I currently am on Aromasin w/o problem ( previously Tamox. and Arimidex )
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