I'd be concerned about shutting down your estrogen so early. Losing your estrogen source at such an early age comes with a HUGE number of serious side effects. Including all the irritating menopause problems (painful sex, hot flashes, loss of libido, sleeplessness...) AND bone density loss leading to osteoporosis.

If I were you - and I'm not you, and I'm not a doctor, so speaking for myself - I'd take tamoxifen and keep my ovaries. This warrants a thorough discussion with your oncologist and, if necessary, a second opinion. It's not a decision you should rush into, or take lightly, given the lifelong effect this will have on you. Yes, it would lessen your risk of recurrence; but how great will your risk be, given your treatment? And if you have a recurrence, who says you can't just treat it again, especially with how treatment has been improving?

TOUGH DECISION, for sure! Readers, has anyone else faced this decision? If so, how did you deal with it? What did you decide? PJH