All of the above

Just thought I'd add my experience with tamoxifen. I was diagnosed last year, had 4 rounds of chemo, 6 weeks of radiation followed by tamoxifen which I've been taking for about 9 months. I had one period in between finishing chemo and starting tamoxifen but haven't had one since. I am 47 though so close to menopause age anyway. I think many woman, especially if much younger, still do get their period.

Tamoxifen has not made me gain weight although I am quite careful to exercise regularly and eat healthily most of the time. I'd like to lose a couple of kilos but I've found that difficult. But then I've always found losing weight difficult and I'm only a tiny bit overweight anyway.

I get mild hot flushes from time to time, particularly at night but they seem to be easing and haven't been a major problem. My biggest concern is that I think it sometimes interferes with my sleeping. I have a tendency to wake up very very early - 4.30 or even earlier sometimes. I have recently started taking melatonin some nights which I got online  and which seems to help. (I haven't mentioned it to my doctor yet so not sure what she will say.) I also try to avoid caffeine late in the day and I rarely drink alcohol now as that makes everything - hot flushes, insomnia - worse. I think getting some exercise during the day helps too. All in all, tamoxifen hasn't been as bad as I'd feared but I do worry a little about the long term risks - uterine/endometrial cancer.  I plan to get myself checked in a year or two even though my oncologist says its a waste of money.

Good luck. I hope you can connect with some other young women in your situation. It must be tough going through all this on your own and with a small baby. Take care, Janet.