Letrozole

Hi Kezzagal​ 

I did a full ten years on Letrozole - five years was recommended at first, but by year four my oncologist (good on research, cautious unless results are verified and replicable) advised that ten years was probably better. At the time (may have changed) there was no research to indicate whether seven or eight years was better than five (which would have been helpful). I never had joint pain or menopause type symptoms, including hot flushes (I was way past menopause). I did develop vaginal atrophy and Letrozole clobbered my hitherto excellent bone density. To be fair, both of those problems were almost certainly exacerbated by age. Now 80, my bone density is about par for the age group! Also, because my estrogen levels are falling by the hour, I can use topical estrogen cream to address the atrophy.

I am getting on for fourteen years post diagnosis, and so far, so good! I suggest, if it hasn't already been suggested, a bone density test to see where you are now before Letrozole changes much. If, like me, your bone density is good for your age, it's a bit like money in the bank - you can afford to lose a bit. 

Best wishes for your surgery and recovery.