Both underwent several lymph node removals and a lumpectomy. Both endured the effects of 6 weeks of radiation therapy. Neither had to endure the grueling effects of chemotherapy. Both were determined to beat this monster that had invaded their bodies. Both bonded as close friends and when the feelings of hopelessness began to creep into their thoughts they had each other as confidants to lift up their spirits. They stood together, without ever having to alarm their families of their inner fears that their cancer would return.

With the conclusion of their treatments they both resumed their everyday routines and tried to reclaim a sense of normalcy back into their lives. They both were prescribed Tamoxifen for the next five years. Tamoxifen is very effective in preventing reoccurrence in invasive hormone-receptor-positive breast cancer. Unknown to Denise, she was not yet finished with the challenges that this demon called cancer forced her to face.

Although, Tamoxifen does have some side effects it is relatively safe and thousands upon thousands of women take it daily without experiencing any side effects at all. Helen scarcely noticed any changes while taking the drug. She returned to work part-time at first, but quickly resumed her role as wife, mother and full time employee. One would scarcely believe that she had ever undergone cancer treatments and she glowed once again with signs of good health.

Denise on the other hand didn't fair quite as well. She noticed immediately that her hair was starting to fall out. Sometimes averaging 200 strands a day. After two weeks of being on Tamoxifen and experiencing this rapid hair loss she was seriously considering discontinuing its use. The radiation therapy that was used to spare her life had left her tired and listless. Tamoxifen that was used to prevent the cancer from returning, was thinning her hair and most of all destroying her self esteem.

She researched the prescription medication Rogaine, but found the chemical name (minoxidil) had side effects as well. Rogaine was also very expensive and time consuming. She had contemplated ovary removal. Her reasoning being, she was positive that her family was complete. She quickly dismissed that thought not wanting to undergo anymore surgeries.

She then looked into Aromasin an FDA approved aromatase inhibitor. Aromasin was given to women with early stage disease, but who had already undergone 2 to 3 years of Tamoxifen. The next inhibitor that she looked into was Femara. Although, FDA approved for early stage breast cancer she needed to have completed 5 years of Tamoxifen. The third inhibitor was called Ariminex. This is given to patients with early stage disease and directly after surgery. After discussing this with her Doctor, she immediately switched from Tamoxifen to Ariminex.

Hair loss was the primary reason Denise switched from Tamoxifen to Ariminex. She had no other side effects with this drug, but as vanity would have it she just didn't want to become bald. After taking Ariminex for just under four months she realized that she had traded one cosmetic side effect for another that was physical. Denise was still experiencing slight hair loss, but was now suffering from excruciating joint pain.

Her Doctor explained that by taking Tamoxifen, her continuing hair loss just might have been caused by the drug giving her a nudge into menopause. Women who enter menopause, because of the lower estrogen sometime experience hair loss. He also explained that everyone's tolerance was different for these drugs and he could prescribe Femara for her instead of Ariminex. By this time Denise was taking extended release Tramadol for joint pain and felt exhausted and defeated. She was still not capable of returning to work, even though it had been almost a year since she had been first diagnosed with breast cancer.

Financially Denise and her family were barely making ends meet. Without her much needed paycheck, the household bills were accumulating. Her once vibrant marriage was suffering and the talk of their separation was only silenced by the tears in their children's eyes. In one year everything she and her family had worked for appeared ready to come crashing down!

Denise was still contemplating whether she should begin taking Femara or stop taking all drugs altogether. That morning she received a phone call that would change her life. It was Helen. Her confidant through the worst of times had called to find out how she was doing. It wasn't long before Denise's emotions came spilling out. Through tears and laughter Helen and Denise were once again reunited, and Denise was no longer fighting this battle, seemingly alone.