How to discuss declining endocrine therapy with your oncologist
I have decided that given my priorities, the specifics of my cancer, and medical history, I have decided not to take tamoxifen. (I did try AI's and was a train wreck).
Do any of you have advice on how to discuss refusing endocrine therapy with your oncologist in a productive way? She really has been great in every other respect, and I don't want this to strain our relationship. But she has tended to guilt-trip me whenever I have expressed doubts or reluctance about endocrine therapy, and when I have asked her about my recurrence risk and what the absolute risk reduction would be for me (instead of the 50% relative reduction number she likes to use), she has deflected or quoted general numbers for breast cancer overall. So, I am not optimistic about how this discussion will go, and am really dreading it.