I’ve been prescribed this for 5 years for breast cancer. I’m post menopausal. Is it normal that I’ve not been given a bone scan first? Another question, I’m ER + but showing weak at 10%, I’m guessing it may not have too great an effect or side effects?
Hi Ochno
Thank you for getting in touch. My name is Lindsey, I’m one of the cancer information nurses on the Macmillan Support Line.
I notice from your profile that you live in Spain. As a UK-based cancer charity, we cannot answer questions about people with cancer who live outside the United Kingdom. This is because there are differences in health services and care in other countries. You can read about the UK standard treatment for your cancer here on our website: https://www.macmillan.org.uk/cancer-information-and-support
As such we can only give general information as to what might be expected in the UK.
Bone mineral density is something that reduces naturally as we age (particularly post the menopause). Medicines that reduce the female hormone oestrogen will further impact bone density. Aromatase Inhibitors (AI) are a family of medicines that reduce oestrogen, and exemestane is a member of that drug family. As a result, women receiving AI therapy for breast cancer are at increased risk of fractures.
The dexa scan measures the mineral density or the ‘hardness’ of the bone.
A dexa scan may be done to check bone strength before treatment starts. If there is concern about the risk of developing osteoporosis and fractures.
There are certain life style changes that can help to look after your bone health including eating a balanced diet with vitamin D and calcium and taking regular exercise.
There is no clear evidence that a low ER+ve level has an impact on the benefit and side effects of hormone treatment.
This only reflects what might be expected in the UK and we are unable to comment on health care protocols in Spain. It is therefore important that you speak to your health care team.
You can also check for overseas cancer organisations here: https://www.cancerresearchuk.org/about-cancer/coping/practically/overseas-visitors/overseas-cancer-organisations
Kind Regards
Lindsey,
Cancer Information Nurse Specialist
You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email.
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