Dear @sickgirl
I have been on femara for seven years - my oncologist has studied the research and, like tamoxifen, thinks 10 years is better than 5. We’ll see. I don’t have nausea, joint pains, weakness etc but have experienced both vaginal atrophy and bone thinning. I’m monitoring the latter carefully - luckily my bone density was excellent at the start so I have some wiggle room. Oestrogen cream (I know it sounds counter productive but at my age - 74 - I am producing very little!) helps the atrophy. Unfortunately while there is research suggesting 5 years is better than none, and 10 years is better than 5, there is none to say if 7 or 8 is better than 10! So I am keeping on so far. A change may help, others have found that beneficial. Best wishes.