Oct 8, 2013 at 20:07:23
“It is the perfect decision for you then. Because you made an informed decision. ut others may decide differently.
Tamoxifen is approved by FDA for primary prevention of breast cancer. High risk women should be informed that there is an option, some may make the same decision as you did some may choose otherwise.
also it is a medical fact that tamoxifen's blood cloth and uterine cancer risk is very much age dependent. Younger you are less you have the chance. The largest trial with tamoxifen did not show any increased risk for uterine cancer for women under age 50.”
Oct 6, 2013 at 19:53:13
“I am so happy you are doing so well after 35 years. it is an inspiration to me and other survivors.
I totally agree with your first sentence we all decide for ourselves. inorder to make a decision we need to know our options. If there is an option to prevent reast cancer . If this option is FDa approved, recommended by restpectfull preventive organizations, it needs to e discussed with the patient. after all the facts are explained, risks and benefits given patient can make a choice. Ut breast cancer prevention is hidden it is swept under the rug. high risk women do dnot know they have this option. They deserve to know the option like their option to get a mammogram. Early detection is promoted , and I am all for it, also discussion for prevention should e promoted. Do you have sisters, daughters , granddaughters, Don't they deserve to know aout it, discuss it with their physician and make a decision for themsleves. Is it fare to hide an option like this?”
Oct 6, 2013 at 16:15:58
“I am a breast cancer survivor, I am currently taking Tamoxifen, if you have gone trough chemotherpay and surgery Tamoxifen is really a piece of cake, considering my cancer was preventible I am very upset none of my physicians offered me prevention, I was high risk due to family history and my cancer could be prevented.
Tamoxifen is not as toxic as it is tought. yes it needs a physician to supervise the treatment . For women age over 50 it will increase blood cloth chances or endometrial cancer chances but not for women below age 50. If a women already had a hysterectomy endometrial cancer chance is not there. If a women is pretty healthy, non smoker and has no cardiovascular risk factors blood cloth chance is negligable. Tamoxifen is not completely anti -estrogen it acts like estrogen at your bones and vagina. It acts like anti-estrogen at breast”
Sophie the Cat on Oct 8, 2013 at 17:27:55
“Tamoxifen's blood clot & uterine cancer risks apply regardless of age. This is a serious drug with potentially serious side effects. It can cause bone pain in some women, and can affect the eyes as well. It works great for breast cancer to lessen chance of metastatic disease after diagnosis, but I would never agree to take this drug unless I had already been diagnosed.”
Clarabell on Oct 6, 2013 at 18:17:59
“The bottom line is we all decide for ourselves. I am a 35 year survivor and when I had mine, in 1978, everyone I had ever known who had cancer was gone in about 6 months. Yes, they had chemo, but it was awful. Luckily I did not have lymph node involvement. I am now 77 years old -- and healthier and more active than almost all of my friends, some of which are younger than me. ”
Oct 6, 2013 at 16:09:26
“I am not suprised to this reaction at all. Prevention is the best kept secret of breast cancer story. These preventive methods are approved by FDA, recommended by US preventive task force. They are developed and approved after many high quality studies. They need to be given to women at higher risk under he supervision of a physician. It is a shame if a reputable physician do not discuss breast cancer prevention with a high risk patient. Yes these treatments could have side effects. All medications may have side effects. If women would carefully selected side effects could be minimized.
If you do not believe me go to Komen's web site and search chemoprevention for breast cancer.
Altough this prevention is called chemoprevention IT IS NOT chemotherapy”
Oct 5, 2013 at 16:43:52
“It is true that early detection is important . However it is not the only option. It is possible to prevent breast cancer . EVEn today there is ways to significantly reduce the risk. Preventive mastectomy is one way especially for the very high risk population like BRCA 1 carriers. For others like women with family history but no BRCA mutations medications like tamoxifen, raloxifen and exemestane can reduce risk and prevent breast cancer. these are FDA approved treatments , please do not mislead the public that early detection is the only way”
Carol57 on Oct 5, 2013 at 20:57:15
“early detection is key to survival. I don't understand what you are saying here. The medications you mention suppress your estrogen - which to a lot of women, and I am one of them - helps to slow down the cancer. The estrogen does NOT create the cancer - the cancer feeds off the estrogen. All women produce estrogen, but not all with get breast cancer. Medical science treats 4 different types of breast cancer currently - you have no way of knowing which type of cancer you will get. Your cancer may NOT be estrogen positive so to take an estrogen suppressant is pointless . . .”
yahute on Oct 5, 2013 at 20:49:35
“You have absolutely no idea what you are talking about.”
BlueZoo on Oct 5, 2013 at 20:29:36
“Taking ANY drug on the off chance you might need it one day is ridiculous in the extreme! There are serious side effect to the three drugs you list and no reputable physician would prescribe them as preventive medication.”
Clarabell on Oct 5, 2013 at 20:24:10
“have you tried any of those things? I had a prophylactic mastectomy -- after having had multiple biopsies and cancer on one side the year before, but this is not something people just jump into-- you make it sound like a piece of cake.”
Sep 2, 2013 at 20:34:40
“I completely understand your frustration. as a physician I think screening mammograms are essential to save lives. I see this every day. However I totally agree with you that early detection is not the best solution. Best solution is preventing breast cancer from hapenning. Life saving treatments for breast cancer are horribly brutal. It leaves a women mutilated, depressed and scarred.
What is very sad is breast cancer my large is very preventible. It is not experimental it is not at research, There are prventive medications approved by FDA and US preventive task force.”
“I am all for HPV vaccine, it is still amazing to me how many pediatricians recommend against it. It is indicated for boys too. If a boy is immune to HPV he can not spread it. HPV also causes penil cancer in men, it causes nasopharingeal cancers in men and women.
My pediatrician recommended against vaccinating my two boys. His logic was if boys can not get cervical cancer they should not be vaccinated. I had to take them to a University clinic to get them vaccinated. I am so haapy I have not listened to his advice. There are still alot of pediatricians out there that believe this vaccination will increase promiscuity , which is also proven untrue”
Elvan123 on Aug 8, 2013 at 17:41:38
“It is a very very very safe vaccine. Anything safer will be water , you can drawn in water and die. It has a very good records in other countries that it prevents HPV related diseases. Cancer has a lot of side effects, many girls and women loose all their reproductive organs to treat cervical cancer, some even have to have upper part of their vagina removed. Many die. It is ridiculous not offer this vaccine to all children.”
jened on Aug 8, 2013 at 13:59:20
“I highly doubt your doctor did not recommend administration of the HPV vaccine due to his/her fears that it would increase your child's promiscuity. It may have had more to do with possible side effects outweighing benefit. One study showed a good many more VAERS reported serious side effects over a same-age vaccine. The safety profile does not seem so good on this one- Japan has recently suspended it. Honestly, if I thought it was truly safe and effective (it will take years to see this) then I would be happy about it.”
hp blogger Tom Frieden, MD, MPH on Aug 8, 2013 at 11:45:56
“Yes, HPV causes cancer in boys, too. It was just last year that the HPV vaccine was recommended for ALL11 to 12-year-old children, both boys and girls. Immunization not only protects against cancers but against genital warts caused by HPV.
Parents have shared concerns that the vaccine may seem like a permission to have sex. But studies have found that preteens and teens who receive this vaccine do not have sex any sooner than their peers who didn’t get the vaccine. HPV vaccine does not open the door to sex. HPV vaccine closes the door to cancer. The vaccine has to be given before onset of sexual activity.”
Jul 19, 2013 at 13:50:59
“How is it possible to differentiate a women who will benefit from who will have harm.
If hormone replacement was so life saving , then why in WHI study more women taking HRT died? It does not make sense.
May be there will be designer estrogens in the future that could be benefical but as a physician i do not believe in benefits of HRT. I have personally seen so many problems with it.”
stuckhereagain on Jul 21, 2013 at 16:58:26
“Is there a bit of a closed mind with your statement " I do not believe in benefits of HRT" ? Perhaps you are male? As a nurse, I know women all react differently to the decrease of hormones. Why can some women desperately need HRT for all the misery menopause can cause, and others are just fine? Why are there such differences in the tolerance level of oral vs transdermal ? I feel sorry for your patients if you treat any for menopause problems with your non belief. Walk a mile in my shoes.....”
Debbie338 on Jul 20, 2013 at 20:09:47
“If you are a physician, you should understand the difference between PremPro and estradiol.”
“do not forget these hormonal pills will increase your risk of breat cancer there are so many other contraceptive methods, it is very dangerous for women over 40 to use hormonal methods due to increase blood cloths strokes and increased cancer risk.”
Ellen Dolgen on Jul 17, 2013 at 19:42:05
“Yes, Aytekin, Dr. Gass brought attention to being careful about which form of birth control you use when you are over 35 years old, "You should make special considerations when selecting a form of birth control. For example, while it is safe for women who smoke to use oral contraceptives until age 35 (however, we strongly advise against smoking), later, the cardiovascular risk associated with birth control pills and smoking exceeds the (normal) risks associated with pregnancy, according to Gass. Hormonal contraception is typically prescribed at a higher dose than hormone replacement therapy, suggesting that hormonal contraception carries a higher risk of blood clots, strokes and heart attacks."”
Jul 9, 2013 at 09:53:51
“why don't you live with your parents. I do not understand this why an adult child has to leave home if they are not ready to take care of themselves. By the way who is ready at age 23, unless married to a good provider or rich trough family, or a genious. Humans are not recreate dto live like that, some can do it but majority can not that is why there is families and societies. It is artificial to leave your family when you ar enot ready , it is artificial to think you should live alone as soon as you are 18 years old, it is artificial mostly created by Hollywood”
“It does not apply to BRCA 1 and BRCA 2 positive patients but there are others ways to prevent breast cancer. Chemoprevention is effective and safe. Especially younger you are less chances of side effects.
Ms Colleen Crinion is a perfect candidate for chemoprevention with Tamoxifen. If she takes 20mg once aday for 5 years she will decrease her chances of breast cancer by 60 to 70%. Please google chemoprevention of breast cancer and check Komen.org for chemoprevention and who is a candidate. Be prepared while talking to your physician, many physicians are not updated on chemoprevention. Ask to be sent to a high risk breast clinic”