[Debbie L.]

You're worrying too much. (friendly smile, we ALL worry too much, and you asked us to tell you that, right?)

>>You said you often see premenopausal people on tamoxifen when her2+, but are they also on their year of herceptin when on tamoxifen (have you ever seen this?)

Yes, all the time. I think that's exactly standard of care. Premenopausal women who have adjuvant or neoadjuvant standard-of-care chemo/Herceptin go on to receive a year of Herceptin and if ER+, Tamoxifen. There are some who will have their ovaries removed or suppress ovarian function -- and some of those will also take Tamoxifen while others will use an AI. You could reference the NCCN guidelines on that (I will do that eventually but don't have time right now).

I'm glad you're getting another opinion because although it's possible the new opinion may "prefer" an AI, I'm almost certain they will reassure you that the Tamoxifen is also a fine choice.

Debbie Laxague