@flowergal - As you may expect, there are different opinions regarding the use of Aromatase Inhibitors following a Mastectomy. Generally, doctors will recommend AIs when only one breast is removed. But in the event of a high-grade type, HR+ cancer, they may recommend AI following a double mastectomy. I don't know what your oncologist may tell you. Since you have a very good rapport with her, I would ask her opinion.

In any event, remember that you have choices.

You may still decide to have a double mastectomy or not. You may still decide to continue taking AI or not. You may still choose to get a second, or third opinion, or not. These are all decisions you CAN make.

I would follow the advice of a doctor I trust; which is what you have already done, I believe? Perhaps, you are no longer sure and want to revisit your options with her? There is NOTHING wrong with that! A doctor who does not understand your need to re-address your options is a doctor you may want to change. Please don't be afraid to request an appointment to talk about your worries.

I know you are concerned about recurrences and not having enough time or strength for/with your family. You are not alone in feeling so. Many of us have in the past, are now, or may feel so in the future. It's worse when your own mother died fairly young.

A diagnosis of CANCER is scary, unexpected, and it takes your breath away. You are in the right place to connect with others who are not doctors but understand what you are going through. We all care and will be by your side through your journey.

HUGS,

D.