Yep, been on Letrozole since 2021. Take Vit D and calcium tablet daily. You’re supposed to do weight bearing exercise but I’m a bit slack with that, but I do walking. You won’t be able to have sexual intercourse, unless you use Ovestin. Moisturise up! Hair maybe become dry also. Use a hair mask as a conditioner. I have hot flashes a lot but I wouldn’t know if that is due to Letrozole or just surgical menopause. I had terminal metastatic Breast Cancer . Still going!