I had an Oncotype score of 30, so I started TC chemo today. I'm 45, so fertility's not an issue for me, but from what I understand younger folks only get a temporary pause on their ovaries if at all. Hope that helps. Best wishes to you

Thanks
Starting CMF
This was helpfuk

My score was also 31 (I am 58),same everything as yours and I am doing CMF - not as harsh, a little longer treatment, still very effective. so far, after one treatment 5 days ago, I feel great. ask about it. oh, and you don't lose all your hair, it thins - I hear. I'll see.

I was 26, stage I, grade I, hormone +, Her2-, oncotypes of 6 and 12, tumor was multifocal, and there was .2mm of cancer in a node (considered negative for treatment purposes).

I went the TC route by choice. My doctors weren't sure I needed chemo at all, but I wanted to be as aggressive as I could. However, I clearly remember my oncologist telling me that if we could not afford fertility preservation, I should forgo chemotherapy. Of course, keep in mind every situation is different.

I went to a fertility expert who explained to me there was a 20% risk of the TC chemo cocktail causing menopause. We went ahead and did a round of IVF freezing 7 embryos.

I am now two years out, and as it turns out chemo did not mess with my ovaries. According to my OBGY I have the reproductive system of a healthy 28 year old :).

Having said all that, TC chemo is pretty rough. I lost all of my hair, and I do mean ALL. I had digestive issues. etc. A second opinion won't hurt.

Certain chemos are more effective over other regimens for certain types and subtypes. Ask for a breakdown of the prognosticating numbers so that you can make an educated decision.