You might need to see a different doctor, get a second opinion. There are too many choices for you to not have even one other try.
Especially if you are 50 and have been on it four years. This is the first choice for premenopausal women, but I would ponder if you were still truly premenopausal.
I had my ovaries removed and then took tamoxifen for 5 and anastrazole for 10. I was 38 at diagnosis. I will tell you the last 19 years have not been easy, but I like to focus on the good things in my life.
I sweat like an ice bucket on a hot day, and feel like someone set my head on fire most of the time, but I keep paper fans close by and have small rechargeable fans around my living space.
If I have a choice between dusting the house and tacking up for a ride. I will take the ride every time.
There are hardships in survivorship, there will be things we grieve in survivorship. I miss my 155lb body, but I love the years I have been able to spend with my husband whom I found too late in life. I love all the time I have spent making sure every member of my family has had the care they deserved. Most of all I love being able to look back on 19 years and say, yep, I did that. I feel like if I can do that (chemo, radiation, 7 surgeries, more chemo, and let’s not forget all that endocrine therapy) I can now take anything life throws my way.
It might be hard but…………..you got this❣️