Is my breast cancer likely to return after therapy?

Question

Hello doctor,

I was diagnosed with early-stage breast cancer last year. I had a lumpectomy and finished radiation six months ago, and now I am on Tamoxifen. I am okay physically, but honestly, the emotional side is harder. I am scared every time I feel a lump or ache. I try to eat healthy, exercise, and stay positive, but some days the anxiety is real.

Is it normal to have fatigue this long after treatment?
My periods have become irregular; could that be from tamoxifen?
Can it also increase the risk of uterine issues?
How often should I get follow-up scans or mammograms?
Are there any new treatments or lifestyle changes that can reduce recurrence risk?

I just want to feel like myself again without this constant fear in the back of my head.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com

I read your query and understand your concern.

I understand how difficult your situation has been, being diagnosed with breast cancer, having surgery, receiving radiation therapy, and now taking hormonal treatment. All of that is very exhausting, both mentally and physically. But I want to reassure you that the hardest part is already behind you, and you have handled it successfully. From now on, it is mainly follow-up; hormonal therapy is a prevention.

For your condition, Tamoxifen is the most suitable treatment right now. There are new targeted therapies, but we only use them if, unfortunately, the disease progresses. It is great that you are taking care of your exercise and nutrition; that is very important. As for the irregular periods, that is a common side effect of Tamoxifen, so please do not worry about it. I would also like to know if you have children or if you are planning to have children in the future. I want to reassure you that you have recovered from the illness, and you can even join cancer group therapy if you wish.

Follow-up is usually done once a year with a mammogram, and everything should be fine.

I hope this helps.

Thank you.