I quit taking my Tamoxifen after two months, because the hot flashes interfered so much with my sleeping (I have an oncologist appointment in a few weeks). I was stage 1, with a 1.1 cm tumor (segmental surgery, and radiation). I was leading a highly stressful life, with very poor (short) sleep and many ten or twelve hour work days. I am now retired. I eat very well, and take supplements and exercise (walks, yoga) every day. The doctors tell me they can't quantify lifestyle changes so don't consider those. But my sleep had become so poor with Tamoxifen, that I always awoke at 3 or 4 and was most often not able to go back to sleep until the next night (so, six hours sleep at most). Even if I napped, it amounted to ten minutes or so.
My question -- it seems to me many stage one women (no nodal involvement) would quit their Tamoxifen, if it gave them hot flashes so badly at night. (I already was having hot flashes somewhat, being on HRT till I was diagnosed in the spring. They became much worse, especially at night.) The oncologists are very insistent about Tamoxifen, and I'm guessing will be (next) insistent about aromatase inhibitors. I just want to live a good life, and not be exhausted because I'm not sleeping. I don't want to take hormones. My life since retiring is vastly different (and relaxing).
Can you comment on this?