Fatigue

Yes! Different treatment from you but I was ER+/PR+/HER2- and went through chemotherapy, lumpectomy and radiotherapy. I was put into menopause during chemo with zoladex implants and then exemestane to stop any other oestrogen in my body plus bisphosphonate infusion every 6 months, 

I felt great when my energy levels returned after chemo but then they never fully recovered and menopause is taking it's toll. I simply don't have the energy levels I once had. Endless hot flushes and night sweats keep me tired and awake during the night and I think the exemestane can lower your immune system a bit as I've had 4 UTIs in the past year and a half, albeit mostly mild. If I overdo things, I really pay for it in terms of energy levels.

Things have significantly improved in terms of menopause symptoms over the almost 2 years since I was put into it, but I am still getting used to the new me.

Pacing myself is something I really need to be careful of nowadays. But on the plus side, my new mantra is to do more of the things I love and less of the things I don't - it has helped me focus on what is really important to me.

Yes - the whole journey and treatment makes me tired. I have to pace myself. I find eating well helps, as does exercise. But I do have days when I can't do very much at all.