Hi Sandy,don't get me started!! After being on Tamoxifen for 4 years,I experienced so many side effects. Hot flushes,dry skin, lack of sleep,thinning hair were the least of my problems.My mild diverticular bowel problem became severe,I developed a fatty liver and elevated liver enzymes and my cervix and uterus prolapsed down.I had none of these problems before Tamoxifen.So I stopped this drug and persevered with pelvic floor exercises. After a year,it's much improved so won't be putting my hand up for a hysterectomy just yet.My blood test is now normal,my skin is soft and my libido is back.yay!