Posted 4/5/2011 6:24 AM (GMT 0)
You might want to do some research on endometriosis before your surgery so you can make sure your doctor knows enough about it to treat you successfully. Ask if your doctor plans to surgically remove, not burn off!, all of the visible endometriosis. What does your doctor plan to do about any endo on your intestines? Some docs will tell you that they can't remove all the endo especially on the intestines but there are true specialists that can remove all endo surgically, including on the intestines.
It sounds like your doctor plans on giving you Lupron. This medication is not a cure for endo. It does help some women but the pain usually returns when they stop the treatment. Most docs will only let a woman take Lupron for six months because it can cause bone thinning and even tooth loss. The side effects can be disabling and become permanent for some women. Lupron will plunge you into menopause (hot flashes, memory problems, fatigue, etc).
It sounds like your doc is talking about also including "add-back therapy", basically giving you some of the hormones that the Lupron is suppressing. This may help with some of the side effects but some docs believe that this defeats the point of the Lupron, you are adding back the hormones that encourage the endometriosis symptoms.
Lupron shots are usually given once a month so it you have a bad reaction, you are stuck with it for a while. They say the first month is the worst and you should feel better after 2 or 3 shots. Some women do and some women don't. I don't mean to scare you but I am not a big fan of Lupron, it has ruined the lives of a few women I know. One had a stroke and two others ended up with chronic pain (fibromyalgia) that they and their doctors believe was triggered by the Lupron. The women in my support group that took Lupron for extended periods ended up with all kinds of dental problems, including tooth loss.
I had surgery to remove endometriosis and scarring about 1 1/2 years ago. I saw a specialist that was highly recommended by other women with endo. He does not use Lupron in his practice, he says that while it does help some women with their pain, it usually makes them just as miserable in other ways. It does not improve their quality of life and they usually end up back in pain a few months after the Lupron treatment ends.
I don't want to scare you or remove hope, I just want to make sure you get the information you need to make informed decisions.