As the C4YW Blog starts the new year with a plethora of inspiring writers, we welcome back Mary Craige with her January entry. Be sure to check back each month, as Mary has bravely decided to keep us up-to-date on her fertility planning and treatment after a breast cancer diagnosis at age 34. Her strong voice and particular story is one of the many that C4YW strives to represent. Be sure to visit the website and register for this year’s event in Seattle!
That is the statement I start every New Year with, along with a list of two or three attainable resolutions. I am not a ‘I want to lose weight” kind of resolutioner because I try to stay fit and eat healthy all year round. My normal resolutions are usually small things, like “make the bed every morning”. Silly things like that are easy and give you a sense of accomplishment.
This month will mark almost three years since my initial breast cancer diagnosis and two years since I completed treatment. It also marks two years of taking Tamoxifen, the drug I have been taking to keep my cancer from recurring. My fingers are crossed that the annual scans and blood work will show that I am holding steady at “No Evidence of Disease” (NED).
It is also the month I’ve been waiting to arrive for almost two years. When my oncologist released me from active treatment in December 2010, she told me, “In January 2013, we’ll start talking about having another baby.”
Well, its 2013 and I’m ready to start talking.
There is a lot to do over the next two months. I started with a visit to a new reproductive endocrinologist at the fertility practice my husband I am went to in 2010 to preserve my fertility using IVF. This was a ‘getting to know you’ meeting to discuss risks associated with another pregnancy, my fertility status and potential next steps. After a 45 minute consultation and review of my medical history, I left with a plan…that wasn’t much of a plan.
Cancer seems to always throw a monkey wrench into things. Not that this was a monkey wrench, but it was more of a ‘hold your horses’ moment. Although there is no definitive research saying that pregnancy after breast cancer can cause recurrence, doctors are often reluctant to do anything until a survivor has finished at least three years of Tamoxifen. I just passed year two.
Why stop Tamoxifen before three years? It certainly wasn’t a rash decision, or one that my husband and I made overnight. It was an informed decision but it is also a risky one. Tamoxifen wreaked havoc on me, physically and mentally. It helped push me into early menopause, helped to cause osteopenia and osteoporosis and gave me unbearable nightly hot flashes.
Life on Tamoxifen was challenging. While I understand that five years of hormone therapy is best, I often liken the Tamoxifen regiment to a daily exercise regime. We all know that we should do 30 minutes of exercise daily to stay healthy. Doctors have found that daily exercise decreases our risks of some cancers, heart disease and stroke. Do we always take the 30 minute walk around the block or the daily trek to the gym? Not always, but many of us try. That’s how I think of Tamoxifen. Should I take it every day for 5 years? Probably. I tried my hardest to live with the side effects. I took other drug, I pushed myself physically and adjusted my sleep to try and get through the night without a hot flash. Unfortunately, like many young women, I found the side effects to be difficult to mitigate without other drugs or treatments.
Once my scans and annual blood work are complete, I will revisit my options with my reproductive endocrinologist. Until then, the focus is on getting through those tests with a clear bill of health. Hopefully next January 1st, I will continue with the phrase, “It’s going to be another great, cancer-free year”.
Mary Craige is a wife, mother, daughter, friend and breast cancer survivor. Diagnosed in 2010 when her son was seven months old, Mary found blogging to be an outlet for her feelings about treatment, fertility challenges and survivorship. Since finishing treatment in 2010, she rode in two 200 mile Tour de Pink West Coast rides. The Tour de Pink helped her take her body back after treatment and proved that she could thrive after cancer. Mary currently works as a Content Marketing Manager for a large data company. Come back to the C4YW blog for future posts by Mary, and head over to the C4YW site to check out the wonderful programming for this year’s event, as well as the great deals we’ve put together for airfare and hotel prices.