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Even if you remove your ovaries your adipose tissue (fat) still secrets estrogen ( albeit minute amounts).
My first tumor was ER- and I was told my ovaries were OK to keep. I had a 2nd lumpectomy (not seen on mammo) one month after the first lumpectomy that showed ER 5% pos and PR-. Now I am on Tamoxifen for that 5%.
I believe ovarian aablation is overkill for ER/PR-. Eventhough I am on Tamoxifen, had I not been ER pos 5%/PR- I would keep the rest of my body intact. DO you really want to be reminded you have cancer everytime you get a hot flash?
I understand being fearful of recurrance. We all are. If you had aggressive chemo and currently NED then you are a SURVIVOR. Live your title.
If you're more concerned about ovarian cancer (which is more difficult to detect and you carry BRCA mutation then, yes- remove the twins. Otherwise I agree with Tami.
This is just my opinion-
mts
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