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I would guess you are sick of trying to understand all of this. I am a man and not a sufferer and am constantly saddened that even basic stats are not available. Why does the govt. or some charities put some money into setting up a central anonymous treatment data base to try and continualy monitor and provide useful treatment stats - I suppose because it is nobodies interest once a product is approved and out there in the market (an answer that is not wanted may come back with continual monitoring) - Human nature again.
I am sorry I cannot give you answers just pointers to a few posts already on this site which may help guide your thougths or arm you with questions for your advisers.
If you use the search engine above right search (above right on the pink bar) and put in Tamoxifen you will find quite a lot of posts raising issues as to tamoxifen and the alternatives. (including Cyclin D expression, and another marker which MAY be contra indicative)
If you check under Rupali and fertility there was a long post with lots of links relating to pre-menopausal issues.
To add even more questions there are some posts on chemo and ablation which make interesting reading. There have been questions as to how much of the effect of some chemos is due to the chemo and how much to ablation.
A further problem is the lack of stats (or difficulty in finding them at all for premenopausal patients let alone sub groups as to the efficacy of various treatment options.
If you have not done so it is worth looking at the side effects of the various options too - a search on google should help there. There are also links to various sites on this site that deal with side effects etc.
These must be impossibly difficult decisions, and at the end of the day only one you can make, taking into account all that is important to you.
RB
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