My reaction is that if it isn't broken, don't fix it. Girl, haven't you gone through enough already?

I've been on Tamoxifen for 2 years. 1 period in 2 years. Took a tamoxifen vacation for 1 month, went back on and 3 weeks later started bad cramps and bleeding, which lasted 14 days. Had endometrial biopsy (came back normal - yeah) and now having hysterectomy and oophrectomy on Wednesday. My oncologist felt having my ovaries removed would be a very good idea and gyn agreed to it and said lets take uterus/cervix at same time - less place for cancer to go to. I refuse to go back on tamoxifen so this was a somewhat easy decision for me.

I think that a lot depends on your age, whether or not you're still menstruating, if your cycles are normal or spotty, what imaging shows, etc. this isn't one size fits all. I went to see a gynecological oncologist who was able relieve my fears of any female cancers, and who was very thorough. At a younger age you are in need if some Stephen for bone and heart and sex health so you can't completely discount those. Chemo already does damage to all 3 of those so you're already working at a deficit, in many cases. Get more than one opinion would be my suggestion, and preferably someone experienced in female cancers. Fear alone is no reason to make such a drastic decision.

I went ahead and had the total hysterectomy and bilateral saling-oophectomy after one year of Tamoxifen. I'm now on Femara and no more hot flashes. I had a history of female issues (fibroids) and don't have the pain from them anymore.

Because I am er+ i decided to have a total hysterectomy when i have the breast removed. Surgery is on 2/27