Hi @Sixsoo
I am sure there are many who have not chosen hormonal therapy, and many who have taken Letrozole for a number of years, but less than recommended (which may still have some benefit) but I’m almost finished year nine, and still upright so it is possible! I’ve lasted this long because I simply don’t have the joint pain that is experienced by some. My motto about a lot of bc treatment is, you can stop. Finding out exactly how a therapy affects you may be worth doing before making a decision. Best wishes whatever you decide.