As Aromatase Inhibitors give a bit better protection against recurrence than Tamoxifen, especially if you are at higher risk of recurrence, then that might be a reason to go with that plus the Zoladex.
I was 47 at diagnosis and premenopausal. They thought that chemo had put me into menopause but I was placed on Tamoxifen and monitored. At the 18 month mark, my ovaries started working again and I then had them removed (being 49 by then) and started Femara (Letrozole).
I have had worse physical effects on Femara than I did on Tamoxifen (joint pain and bone loss) but I feel less moody, a lot more placid and easier to live with!
Talk it over with your doctors if you need to. The important thing is to understand your choices and be as happy as you can be with them. Good luck whatever you decide to do. xxx
