Hello 🙂. Sorry to see you here, in the bc forum. A lovely place nevertheless cos of all the ladies 😊.
I was diagnosed last year, also 39, and also with one child. I had stage one multifocal and simultaneous bilateral, so I had a double mastectomy with the expanders inserted for further reconstruction. I did 5 weeks of radiation and skipped chemo. Cos of that, my oncologist put me on the strongest hormone suppresser, Letrozole, which is an aromatase inhibitor. To take that, you have to be post menopausal, and I wasn’t. So I also have to take monthly Zoladex injections to keep my ovaries suppressed as well, and am therefore in artificial menopause. I am happy with this, as I used to have very heavy periods and bad PMS. I also have adenomyosis and possible endometriosis, so I definitely don’t want to go on Tamoxifen as it does cause heavy periods. The last thing I want is worse periods than what I used to have. A friend of mine has been on T for about 4 years, and has irregular and heavy periods. She now possibly needs a curettage to ease her symptoms.
In terms of side effects, they all have similar ones. And it really depends on you, how your body will respond to each treatment. My side effects on the AI are not too bad, and as I said I’m very happy not getting my period. Plus the AI are more effective than tamoxifen.
Hope this helps. Sorry if I’ve confused you.
M Xxx