@Red1 I too have a family history of cardiovascular disease in fact my Dad only passed 1yr ago, there are also mental health issues too. My percentage was only 1% but I think the hardest thing has been for me? is that I couldnt live with myself if I didnt do everything recommended and I had another recurrence. Its got to be what youre comfortable with. The thing is the benefits far outweigh the negative and honestly I had zero side effects in 4yrs on it. Even with being on AI's now apart from fatigue and a little pain Im the best Ive been. To be honest tamoxifen is the least of it all, i found treatment far worse in all respects and something I'd do differently in hindsight.
The problem is we only have the treatments we have which is so frustrating, and NO you dont get thrown out in the cold at all. I attend my Surgeon every Jan and have my mammo and ultrasound and every July is the Oncologist. Mind you to me I think I should only see the Onc if I need to as its a waste of time. They'll continue to monitor you 6 monthly or yearly depending on the complexity of your diagnosis.
Having said all this my Oncologist wants me on the medication but if I choose not to he supports it too and this is the Oncologist who was on the latest webinar.