Hi, I was already about to have a hysterectomy (due to fibroids not cancer) when I had my DCIS diagnosis. So long story short I've had 2 lumpectomies, a hysterectomy with ovaries removed and radiotherapy between October and December and now on tamoxifen. I'm in surgical menopause and hot flushes were bad. I started tamoxifen and didn't seem to effect me until 6 weeks in and wham, they've increased ten fold and I'm waking up constantly with night sweats and visits to the toilet every night. I am also getting joint pain, exhausted (might be lack of sleep) and a bit weepy. I am so tired and fed up. I've been offered venlafaxine but I believe they are awful to come off. Anyone been in a similar situation and have some advice please?x