My understanding is that the negative side effects of tamoxifen are low (lower?) if you’re already in menopause and definitely lower than AIs which is what is prescribed for post menopausal women after BC treatment. In any case, why not try it first? You can always stop if it becomes too much. Many women apparently don’t have any side effects with it.
Personally, I will be taking tamoxifen after completing active treatment for stage 1 BC. Anything (or maybe almost anything) to reduce recurrence.