I began to take this medication after having abnormal mammogram, when the biopsy investigation has found precancerous cells. I have severe hot flashes several times a month, joint and leg pain. My menstrual cycle remains regular but I have nose-bleed a week before. After 3 months of stating with this medicine my hair become thinner about 3 months, that it has rather subsided now and I am going to keep the medication one more year yet. I became more irritable than before but all side effects are well manageable now. Only 4 years to manage it!