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Recovery time after Anastrozole/aromatase inhibitors

Breast Cancer | Last Active: 8 hours ago | Replies (37)

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Profile picture for megunique @megunique

I finished 5 years of anastrazole on September 1, 2025. I was diagnosed with Stage 1A invasive ductal carcinoma. It was very small and no node involvement. I think it is important to share your diagnosis since it can impact your decisions about hormone blockers. I had lumpectomy (and a great surgical oncologist), radiation and "normal". Now you have to wait while your body learns to turn on again and produce estrogen (from fat cells at my age, not ovaries) and start to regulate hormones. I have a great medical oncologist but even she would minimize this process after you stop taking the medication. I am now at 8 months off the hormone blocker and I am just in the past month starting to sleep again. When I pressed my oncologist she did say it can take 9-12 months before you feel more like you were before the hormone blocker. I think they don't always tell you everything because they want you to take the medication. And to be honest not everyone has a hard time; you read about it on this site because you are hearing some of the worst stories. I would still decide to take the hormone blockers because it was important for long-term recovery. I just wanted something more realistic in terms of how your body bounces back so I did not think I was terribly abnormal. Regarding sleep, I actively pursued a cognitive behavioral plan and it takes commitment to change habitats but it does work. My sleep is between 6-7 hours now with 30-48 % deep sleep. It is possible but you have to believe it is possible and get a plan if the insomnia persists. I don't know if this plan would have worked while I was on Anastrazole. As another positive mention, I have a friend who had Stage 3B IDC at 50 years old and she had a double mastectomy, chemo, radiation and hormone blockers. She is 28 years post diagnosis (knock wood); went through hell but would still follow the same plan since she has enjoyed 28 more years and counting. She has seen both her children grow up, marry, have children and she feels everything was worth that. Best of luck to you. Remember your story will be different than mine or others who respond. Wishing you the best of health.

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Replies to "I finished 5 years of anastrazole on September 1, 2025. I was diagnosed with Stage 1A..."

@megunique Thank you for your post. It’s heartening to hear that there is hope for improvement in symptoms after the end of therapy. Some of the things I have read seem to imply that changes are permanent, but if I think there is the possibility of improvement I will hang on in there even though I’m currently really struggling. My diagnosis and treatment plan almost identical to your own so it was very interesting and supportive to know of your experience.

@megunique
Hugs to you!! I had the same diagnosis, am 2 days post surgery. My three physician Breast Cancer Team is suggesting a week of radiation, then the Anastrozole for the next 5 years. I am 76 and also have a Paraganglioma awaiting treatment, so do not want to do anything that would interfere with that upcoming unknown plan. Any thoughts would be greatly appreciated!

Thank you all,
Suzanne