Any long-term success stories from those NOT taking hormone therapy?

Posted by lj22 @lj22, Mar 30, 2025

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.

Profile picture for lj22 @lj22

So here's an update on me. After 5 months of not wanting to start AI hormone therapy, I finally started Anastrozole. Basically, my oncologist pointed out the this reduces not just new cancer in the other breast, but distant recurrence as well (metastatic cancer-- lungs, brain, bone, etc). That scared me. I am now 7 months into the drug, and I do have side effects-- joint pain (hip, knee), more frequent headaches. But my biggest fear is still the erosion of my bone health. I'm planning on getting my next Dexa scan sooner than 2 years (even if I have to pay for it) to closely track if this drug is damaging my bones. I have advanced osteopenia in my lumbar spine, and really nervous about it progressing to osteoporosis, given that I have several friends with osteoporosis, and they have fallen, broken bones, and needed surgeries. I don't predict that I will stay on this med for the full 5 years, and I am also afraid of Zometa infusion, which I understand isn't tolerated well by some.

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@lj22 I am HER2 stage2, have had chemo, lumpectomy, radiation. I tried anastrazole, but oncologist switched me to letrozole. I am 7 months in and have pretty major side effects, but am afraid to stop. I may be switched again, but I wanted to tell you I am also being given Zometa every three months for two years. I am one year in and it is not causing me much grief. The only side effect is a slight fluey feeling the day after. I am afraid of osteoporosis so for me, it’s a good thing. Good luck!

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Profile picture for brightlight66 @brightlight66

@raebaby AWESOME and Congratulations!!! May I ask what kind of breast cancer you had? I had invasive lobular and too nervous to refuse AI's although I'd like to. Still hanging in here and taking them to reduce recurrence. : )

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@brightlight66 I was HERpositive , stage 2A, had a 2mm tumor removed , chemo and radiation. I had 3 lymph nodes removed. My menopause was so miserable with all the hormone fluctuations, I knew I couldn't handle no estrogen at all. I had arthritis in my lower back. I'm doing well. I find myself even striding if I am in a hurry. My cognition is fine for age 84.

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I have osteoporosis and was improving with Vit D, weight bearing/walking. After 9 months on Anastrozole, there was a notable decline in my density. I then agreed to Fosamax. Now that I am on Tamoxifen, I no longer must take Fosamax. Trying to find the sweet spot. I recently fell missing a step and cracked a kneecap that I broke and had two surgeries on 20 years ago. I was not due to osteoporosis and most likely not due to the short use of Fosamax. Things happen.

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