Hi Lynda,
So glad you have found BCNA and this post. You have so much going on in your life-and been through so much. You sound like you are a real fighter! And you are right that you have to do what you think is best.
All I can offer you is my story.
At age 48, was diagnosed with Grade 2 Invasive Lobular -hormone positive-breast cancer. My lesion was much smaller than yours and I chose to have a single mastectomy. The grade 2 was an important factor in my choices.
My Oncologist did the sums (they use a program with survival rate) and found that tamoxifen with chemo was the best outcome as per the program. However she was surprised that the chemo was so highly rated as the cancer was not fast growing( chemo attacks rapidly dividing cells). This may be why you chose not to have chemo (???). My Oncologist told me about zoladex- how it stops the ovaries producing oestrogen- and we decided to use zoladex (for 2 years) and tamoxifen. It seemed the best option.
The key with me is that we started them at the same time. I was propelled into menopause! so 4 weeks after the treatment started and 7 weeks after my surgery- I had a massive meltdown, and found myself very anxious and not coping. I did see a cancer pysch who felt I had post traumatic stress. I was also plagued with the menopause symptoms. But over time found ways to cope- acupuncture and dietary changes were the most successful. I was not diagnosed with depression.
This is nearly 4 years ago. I am so pleased with the choices I made. The fact that my body was not producing oeastrogen- and not reacting to oestrogen- I felt like I was doing everything I could to stop this hideous disease returning. As I am now post menopausal I have recently stopped taking tamoxifen and am on aromatase inhibitors. I feel very fortunate that I have been able to tolerate all the medications. Some women react poorly to tamoxifen and or arimidex and are unable to take them.
You have to decide what is best for yourself and your children- and live life with no regrets knowing that you have made the best choice with the information given.
Hope this helps in someway xo
Carolyn