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FDA-Approved Indications in Women Treatment of ER+ breast cancer in premenopausal and postmenopausal women Adjuvant therapy following surgery (e.g., lumpectomy or mastectomy) Risk reduction in women with high familial/genetic risk for breast cancer (e.g., BRCA mutation carriers) Management of ductal carcinoma in situ (DCIS) Occasionally used off-label for infertility due to anovulation (as a Clomid alternative) “Tamoxifen is approved for use in women with hormone receptor–positive breast cancer and for breast cancer risk reduction in high-risk populations.” — U.S