Any long-term success stories from those NOT taking hormone therapy?
Hello all, I'm fairly new to this forum. Have previously described my case, early 60's, Stage 1, HR +, Her2-, lumpectomy and now radiation. Soon, I'll need to make a decision about whether to take hormone therapy. I've ruled out Tamoxifen, and if AI (Anastrozole), I would need Zometa due to osteopenia. I am otherwise healthy and take no other daily meds. I am also looking into natural AI's in foods and supplements. (Have reviewed Predict model, showing relatively high survival rates, but unclear on recurrence rates from his model.)
Anyone in a similar situation who has decided not to take AIs, and is doing well long term? Would like to hear your experiences. Many thanks. LJ
Interested in more discussions like this? Go to the Breast Cancer Support Group.
Connect

@bloncape I'm 72, recently diagnosed with stage 1 ilc & after lumpectomy & 5-day radiation, now take half-dose (10 mg) of Tamoxifen which has minimal side effects & hopefully also protects bones. Feels like a good compromise for me. Had to fight for the half-dose prescription. As you say, we're all different beings & all must find our own path.
-
Like -
Helpful -
Hug
1 Reaction@jmab so you’re saying hormone receptors pills keep cancer away if you take them as opposed to not?
@brooklyn22 Just to add in. If the question is do Aromatase Inhibitors such as letrozole and others keep estrogen positive breast cancer from coming back and/or spreading--the answer is yes. Tamoxifen does the same. The odds are different for each person. Or are you asking something different? I've been on letrozole for 3 1/2 years. No side effects. My rare aggressive cancer has not reappeared--a good sign the letrozole is working. (I did not have chemo due to kidney disease). Hope this clarifies.
-
Like -
Helpful -
Hug
5 Reactions@brooklyn22 Hormone BLOCKERS reduce rates of cancer recurrance. Yes, absolutely, 100%.
-
Like -
Helpful -
Hug
4 Reactions@mir123 Hi, I am so glad to hear that you have no side effect with Letrozole. May I ask how many years you need to take? As you mentioned that you had rare aggressive one So I guess you may need to take up to 10 years? My one was not aggressive that I need to take 5 years. I am on only 6 months with mild side effect and hoping no major one for much longer years. I mean at least for 3 years.
Hi, With osteopenia, You don't need to take IV Zometa now. I have one too. My onco Dr. didn't ask me to do anything just change the diet and do weigh bearing exercise. Be aware Zometa has strong side effect NOT everyone can handle it.
-
Like -
Helpful -
Hug
1 Reaction@songfamily2025 It's a good question but I have no clear answer. I'm guessing you are right as regards ten years. With each passing year, my oncologist explained, my life expectancy looks better. The two year and then the five year mark both bode well. I don't mind being on letrozole at all. My bone density is still normal. The truth is, I'm very grateful this drug is keeping me going. I'm almost 72, and other co-morbities have made me face mortality in a way that isn't bad at all. I'm really enjoying life, a day at a time. Wishing you all the best, too, in every arena.
-
Like -
Helpful -
Hug
1 Reaction@mir123 hi asking percentage rate of taking Aromatase Inhibitors vs Not- I’m going by the science genomic test results my Onco Score (3) Ki67-10 very slow growing I finished radiation Oct ‘25 had post Mamography last month then will do again in July - turned 71 in Dec BRCA Neg- I honestly thought once I had lumpectomy radiation I’m done with the nightmare - I’m still researching natural for E&P positive HER2 - I hear grape seed very good proven - I wish us all good luck in whichever path we are on.
@brooklyn22 I hope I can explain what I know. You should ask your oncologist for the percentage of risk reduction for the Aromatase Inhibitors with your specific cancer. Let's say there is a 50% improvement with the drugs. But then you need to know what you risk of recurrence/spread actually is. Let's say it is 2%, so the risk reduction is very minor. But if it is 80% the risk reduction could be critical. As I'm no doctor I don't know the exact answer--but your oncologist should provide you with the info you need. It will vary person by person. Also, consider if you re ok with starting an Aromatase Inhibitor and seeing how you do. (I think from your comments you have not yet started?) You can always start and then tell your oncologist you are stopping--or ask to try a different one. I gather about half of women have few or no problems. I've been on letrozole for 3 1/2 years without side effects and good cancer control. I hope you can get some peace mind with this decision. (I found decision making the hardest part, for me, of the process).
-
Like -
Helpful -
Hug
1 Reaction@mir123 Hi, Thank you for the quick response. Letrozole is most toxic AIs among the three for post menopause women. It reduce the estrogen by up to 96%. Many women had a terrible side effects. The worst that makes me concerned are heart problem. Increase the BP and cholesterol, edemas on extremity and Osteoporosis. My cardiologist put me on Crestor 5mg daily since my cholesterol and triglycerides was elevated before I started AIs. I am very happy for you that you don't have all those critical side effect for 3 1/2 years. My Onco MD only want me to start for 5years. Because those meds will stay in your body for many years after we stopped. As far as recurrence, it all depends the Ca cells. There is nothing we can do to prevent. I like your attitude to take one day at time and enjoy life. It being said" You can choose the life style you want. But how long you can live it is in God hands" We all hope the best for all of us specially for those much younger women. I am 70 in Sep.
Hope we can contact with each other.
-
Like -
Helpful -
Hug
2 Reactions