oophorectomy or ovarian suppression after treatment
I'm back here after quite a while, with a question. I was diagnosed at 42 so premenopausal and along with all the other fun got put on lupron/letrozole. I had a bad time, major depression, all the hot flashes, etc. Got switched to tamoxifen after a few months and eventually things got better. 3.5 years out I am doing ok but my doctor wants to put me back on ovarian suppression.
Although the menopause symptoms stopped (possibly due to antidepressants?), my period never came back after chemo, again, 3+ years. My doctor wants to check my estrogen levels for a few months to see if I can do just the aromatase inhibitor, and maybe even lupron again.
I would like to not go insane again, but if I'm in "real" menopause anyway, should I just ask to have my ovaries taken out? My thought is, if it's the same effect anyway, why not give ovarian cancer a miss also? (I'm BRCA negative but it still happens)
My primary goal is like everyone to avoid recurrence to the best degree possible, but I can't have that bad time again. It was a very bad time.
Everything I read about this has advice for premenopausal women who I guess expected to get their periods again, and they say oopherectomy is bad because you're young and you'll be going a long time with possible bone loss etc. But it looks like I'm all done anyway?
Is there any qualitative difference between the OS/AI experience and oopherectomy exeperience? Is there something I'm missing? I will discuss with the doctor but next appointment isn't until January. Thank you for any thoughts.