Thought I'd weigh-in on the ovary discussion as I just went through meeting with 4 different docs about this.
Like many of us who are er/pr negative, my tumor was stage IIB, big, and strongly Her2/neu+.
I had chemo before surgery, in the hopes of shrinking the tumor. And, boy, did it work! That sucker shrank to a pea size.
I had AC followed by Taxol, then the surgery and rads. I really wanted Herceptin, but my oncologist said that I would have to pay for the total cost since my insurance wouldn't cover it (because it is not the "standard of care" for those who are just stage II).
I, too, wondered about removing the ovaries and went to many doctors in search of the right answer. So, after many appointments and some serious outlay of cash, I was told by 2 to remove them and by 2 to keep them in! (I guess the moral of the story is go to an odd number of "experts"!)
What I really took to heart was what my surgeon said, which was basically, "I wish I could tell you what the right answer is here, but there simply isn't a clear path. We just don't know enough about these types of cancer in young women and what effect, if any, the ovaries may play in the future."
Now, I am ONLY considering an ooph due to other factors, such as hormonally triggered migranes and ovarian cysts. I do not think it would be wise to remove them unless you had other issues as well.
But, again, I think you should research and get more info first.
Best of luck to you. I wish there were some easy answers with this whole cancer thing!