Navigating My Breast Cancer Treatment Decisions at 39

Being diagnosed with breast cancer at any age is scary, but at age 39, it was absolutely terrifying. The moment I heard the words “You have breast cancer,” my world shifted in a way I never could have imagined. I remember sitting in my oncologist’s office, my mind racing with questions, fears, and what-ifs. She looked at me with determination and compassion and assured me that she would treat me aggressively so I would never have to go through it again.

Although there are no guarantees, it is essential to have faith in the words we speak out. I believed her and, more importantly, I believed in myself. I said, “Okay, let’s do it.” From that moment, I have not looked back on that decision.

One of the first things I learned was the importance of understanding your diagnosis and its implications for your treatment options. The American Cancer Society’s resource booklet, which described the stages of cancer, was instrumental in helping me make decisions about my treatment. I spent hours reading, learning about the different stages, and what each stage meant for my prognosis and the types of treatments that might be recommended. It was overwhelming, but it gave me a sense of control in a situation that felt so out of my hands.

Knowing my numbers became a crucial part of my decision-making process. I wanted to understand every detail, my tumor size, lymph node involvement, and hormone receptor status, because these numbers would guide my treatment plan. Back in 2002, we didn’t have the Oncotype DX test, which today helps determine how aggressive a tumor might be and whether chemotherapy is likely to be beneficial. Not having that information added another layer of uncertainty, but I relied heavily on the resources and information available to me at the time.

Today, there are so many more resources available to guide newly diagnosed cancer patients. There are online communities, support groups, and advanced diagnostic tests that can help personalize treatment plans. I am genuinely grateful that the landscape has changed, and that women (and men) facing this diagnosis now have access to even more information and support. However, even with all these advancements, one thing remains constant: the importance of being your own advocate. I recommend bringing someone with you to every appointment as an extra set of “ears” so you don’t miss anything the doctor explains.

I encourage everyone who is facing a breast cancer diagnosis to know their numbers. Don’t be afraid to ask your doctors questions, even if they seem small or insignificant. Your medical team is there to guide you, but you are the one living with the decisions. It’s okay to ask for clarification, to get second opinions, and to take the time you need to process your options. There is no “one-size-fits-all” approach to cancer treatment, and what works for one person may not be right for another.

Looking back, I am grateful for the guidance of my oncologist and the resources available to me. Navigating treatment decisions after a breast cancer diagnosis is never easy, but having faith in your doctors, in the process, and in yourself makes all the difference. If you are newly diagnosed, know that you are not alone. Take it one step at a time and trust your decisions.

This piece reflects the author’s personal experience and perspective as a breast cancer survivor. For medical advice, please consult your health care provider.

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