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I started off on Tamoxifen right after masectomy/chemo and rads in 2000.
At 44 then I still hadn't entered menopause. So when they in 2002 found mets to the pelvis bone my doctor put me in menopause. As I had to get radiation to my pelvis anyway I also radiated the ovaries to put them "to sleep". With some doses of Zoladex I entered menopause very swiftly. This in turn made it possible to use AI's, more specifically Aromasin(exemestane) which worked wonders for me.
I think it's a good idea to have the ovaries removed. It is a small operation, and you can get started on AIs which I believe is a better and more modern treatment than Tamoxifen.
I also have two friends (twins) who have the agressive BRCA gene, but no cancer, and they both have removed their ovaries to be on the safe side.
I belive it is very important to feel safe with your treatment, so I think you should go with whatever makes you feel most at ease.
Good luck,
NoraC
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