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Hi Hayley,

I was diagnosed at 44, and stopped having my periods during chemo. But when my onc subsequently put me on Femara, she prescribed that I have Zoladex injections every month to shut my ovaries down. Apparently, just because one stops menstruating doesn't mean that one definitely is post-menopausal. I am now 47, and recently asked about stopping the Zoladex, figuring I should not need it any more. She said she would not feel comfortable with taking that risk.

My onc is at UCSF. I have seen lectures that she gives for other oncs on the internet, and one point she mentions as a common mistake is that she frequently seems women who have metastatic disease and are getting Femara (or other AIs) and who are not yet truly post-menopausal. (As Becky mentioned, in those scenarios Femara can actually increase estrogen production.) Dr. Rugo would then prescribe Zoladex or Lupron injections, and this helped reverse disease progression.

Good luck with this!

Best,


Jill