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Old 03-08-2006, 04:25 PM   #1 (permalink)
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Default Lupron: What can you expect?

I was just approved for Lupron. I should be getting my first shot w/in a few days, and then get a shot every 4-5 weeks for the next 6 months.
First, my ob/gyn said it will prove or disprove if I have endometriosis without surgery. He said if my cramping/pains aren't present anymore, walla...it must have been from the endo. Also, I am currently having blood issues. My hematologist is still trying to figure out what is wrong with me. (I guess I'll explain this all at the end of this post).
ANYWAY..I've heard some massive horror stories about Lupron when used as cycle prevention. Lupron can be used short-term to help when doing IVF and such, too...so this is not concerning that use. This is the long-acting Lupron.

I was told it basically throws your body into a chemical menopause, and it will literally be just like menopause. I was warned about mood swings, crying fits, cold/hot flashes, weight issues...and more. I am just wondering how bad this will really be, or if maybe some people luck out and don't get too bad. They said since i had PCOS and already have issues with my hormones, it might not be much of a difference for me. But still.
I was also given enough Xanax to keep my calm, as needed. I was on Xanax before, taking as needed (2-4 times a week) because of my other issues, so I don't 'mind' taking it to help with any mood issues I might run into.

So anyone ever done the long-term Lupron injection?

*Now to explain my other situation, since some ladies here might know me and haven't heard from me in a long time.
I have some major issues with my blood. First, it started with low-iron anemia. My iron and ferritin (what stores the iron supply in the body) were in the single digits (normal/healthy people have iron levels 50-100+). So first my PCP sent me to endocrinologist. She put me on iron, as well as metformin again because she said my hormones were out of whack and agrees that metformin is good for treating PCOS. Little by little, my iron finally got to about 15-20, and my ferritin rose a little too. But then she noticed things getting weird, and also said I was taking enough iron that my iron should be fairly high, which it was not. She then decided to send me to a hematologist.
That is where the circus began. First my hematologist had to rule out an malabsorption issues. For the most part, she has, although I'm getting a endoscopy with small bowel biopsy on the 14th as a final step to make sure I'm able to absorb things properly through my digestive track. Then she was doing bloodwork on me, taking blood every two weeks, and noticed things. I then went through a slew of tests to see if I have any clotting disorders. I already knew I had one, which she confirmed, said it was minor, and just noted it on my chart and told me to tell a Dr. before surgery that I do have a clotting disorder. Nothing big, she said.
Then I have some abnormally shaped? (don't remember) platelets. again, she said nothing big, no big deal, just slight explanation as to why I don't heal well. But then the poop really hit the fan.
My iron was not going above 25, it was holding steady in the low 20's, and my ferritin levels stopped rising. Keep in mind, I was taking 3 iron pills a day, and I simply should have been doing better than that. But, usually with low iron, you also have low hemoglobin/platelet counts. I did not. My hemo/platelet was always 'normal'. Soon, they noticed my red blood count rising. It kept on going up and up each time they checked. They bumped my iron down to 1 pill a day, versus three. My iron stayed around 20, my hemo/platelet count remained normal, but my red blood count kept on going up.
Finally I was told to stop taking iron, because my red blood count was so high, I was at a high risk of heart attack, stroke, or blood clot. They were about ready to start 'bleeding' me weekly, to help remove some of the red blood cells, because they were afraid of giving me blood thinners. I stopped iron, my iron is back down to single-digits, but my red blood count is still sky-high. They said I was just bordering on where they'd need to treat it, so for now they are just going to keep on eye on me.
They don't know what is causing this, so they have done so much testing. I had this one test, blood volume/mass/red blood mass test. Weird test. I got injected with 2 different radioactive isotopes, long story, but that was how they could tell how much blood i had in my body total, and how much of that blood was red blood cells, and how much was serum. I haven't been explained the full results yet, all I was told (by a different Dr. who I asked to at least clue me in now so I don't have to wait until my next appt on the 21st) is that I have 1/2-1/3 the normal blood supply of a person, and my blood is more red blood cell vs. serum than it should be.
No idea what that means. I went through lung testing/function, to make sure my body is able to intake oxygen (when it's not, the body makes more red blood cells to help carry the oxygen to make up for things). Well, yeah...my lungs are pretty good, aside from my asthma, and that is not the cause. So far, my heart is looking OK. I do have a high-risk of heart problems, but as of right now, it seems to be fine.
Next step is bone marrow biopsy, which I do NOT look forward to They were going to do my bone marrow biopsy at the same time as my endoscopy, but alas, the hospital requires those things to be done in different surgical suites with different staff present, and it cannot be done at the same time. So I'll be knocked out twice, but oh well. I think my bone marrow biopsy is at the end of this month/begining of next month.
I guess I'm worried. Although leukemia usually presents itself with white blood count issues, it can also be present with red blood count issues. I didn't know until last week, but there has been leukemia in my family (great-grandmother, and her siblings, all died of it).
Anyway...I'm busy as hell with all these Drs and testing. It sucks. I'm tired, and can't sleep much. I have no energy. It's a fight just to get into the shower every day, because I'm simply too tired to get out of bed 99% of the time. They can't put me back on iron, which helps my energy levels. Every sleeping aide they've tried has not worked. They can't try stimulants to help wake me up because they are afraid my heart can't take it. So until they figure things out, I'm s**t out of luck.
I'm given Xanax to help when I get really bugged by all this. Flexeril and pain killers to help my fibromyalgia, which acts up because of stress and lack of sleep. All I can do is sit and wait, and HOPE they find something they know how to treat. They keep on freaking me out, because they all keep saying they've never seen this before. They've seen one part, they've seen the other...but never the combination that I have. They joke around with me, and told me to think of a name for a new disease/condition...they said if I have something new, I can name it. Nice, eh?
I just hope the last test will be that bone marrow biopsy. The bone marrow is what tells the body to make cells and such, so mine might be...miscommunicating with my body for some reason. I hope not. I hope it's not leukemia. (not just because cancer is bad, along with most diseases that cause bone marrow issues, but because from what I remember, my dad is the only one in my family who is my blood type, and he is sick, too and could not donate to me).
So yeah.
I need the Lurpon to help see if I have endo, and because they're worried what getting my period does to me. Drops iron even more, blood loss, clotting issues...they said it's just not worth the risk until they find out what is wrong.

I'm just so tired, and flippin' bored. I'm not allowed to do much, even if I could, because my immune system is shot and I get sick so easily.
All I do is sleep, watch TV, play on the computer...it gets old after a few weeks of this.
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Old 03-08-2006, 05:28 PM   #2 (permalink)
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I started lupron two weeks ago. First and foremost DO NOT TAKE THIS DRUG TO "PROVE" YOU HAVE ENDOMETRIOSIS! That is not the purpose this medication. Some women have horrible reactions to this medication and if you dont' have endo then there is no reason to risk those reactions!

Surgery is the only way to determine whether or not you have endo. You can definitely expect hot flashes. I'm on an antidepressant to keep my moods level. I would suggest this big time!

If you have any questions about endo please feel free to ask. Also go to endocenter.org for more information. Your doctor is doing you a great injustice by putting you on Lupron before diagnosing you with endo.

I hope this helps. Please seek out a new dr that knows something about endo. If you need resources I will help you. Take care.
Ashley
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Old 03-08-2006, 05:37 PM   #3 (permalink)
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Ok...but even I have done some research and putting someone on Lupron to suppress cycles IS a way to determine if pain/excessive bleeding is caused by endo without doing surgery. I can't have surgery, they will not do any on me. First, they don't know what is wrong with my blood/marrow yet, and 2nd my ob/gyn refuses to do a lap on me. He said the only way he'd surgically check for endo is if I was having a lap done for something else. Then he could come in when they are done with the first part of lap, and he'd then take a look on his own. I do not do well with surgery, and he said it was not worth the risk. Therefore, with surgery out of the question (unless another Dr. has a reason to do surgery on me), Lupron for 6 months will help determine if it is indeed endo.
And this ob/gyn is head of ob/gyn at the local hospital, also a professor of gyn oncology and infertility. He is a very good, respected, and trustworthy Dr. Also, happens to be a friend of my mom's. He has been the ONLY one willing to listen to me when I say I think I have endo. He's the only one looking at my overall health to agree that surgery is totally not worth the risk. No other ob/gyn has been willing to do Lupron, instead they insist on BCP which could kill me.

Please don't reply to things you're not sure of. Lupron *IS* a proved method of determining endo if surgery is NOT an option.
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Old 03-08-2006, 08:04 PM   #4 (permalink)
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I finished Lupron a few months ago. The only side effect that I really noticed was hot flashes. I am sure that I had some mood swings, too, but those are normal for me,so I didn't notice a big difference in that area. I really didn't feel a big relief from my endo symptoms and I had a period every single month. I did the Lupron injections for 6 months.

I know that it has helped some of the ladies. I wish you luck with it......
I would read as much as I could about it. If you have any other questions feel free to ask!
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Old 03-08-2006, 08:32 PM   #5 (permalink)
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I was diagnosed with endo through a laperoscopy and put on a 6 month cycle of lupron.
Some of the side effects I can remember were:
Hot flashes.
night sweats.
Mood swings.
Very dry down below(sorry TMI)but if your going to be doing anything in the bedroom it can get painfull.
I also remember feeling a little more tired for a couple days after I had my shot.
Good luck, I hope things get better for you soon.
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Old 03-08-2006, 08:47 PM   #6 (permalink)
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Oh Renee, I am so sorry you're going through this I can't give you any advice about the lupron, or the blood issues, but I wanted to encourage you about the endoscopy. It's really no big deal. I had one done a few years ago. I was out for a half-hour, woke up feeling very "happy" if you know what I mean, and spent the rest of the day laying around. I'm sorry they'll have to put you out again for the bone marrow biopsy, that really sucks. But do know that the endoscopy should be a piece of cake.

You're in my prayers always, sweetie. Take care of yourself!

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Old 03-09-2006, 09:50 PM   #7 (permalink)
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I understand that surgery could be difficult and I'm sorry that you have had such a hard time getting someone to pay attention to you. That shouldn't be the case. I'm sure they are trying to do what is best for you however you also have to understand the risks that come with Lupron. Drs and most medical journal websites leave out a lot of information that you can find through a patient's experience. Many of my friends have been on the drug some have found that it's a wonder drug however some of them haven't been so lucky. Some of them have seizures, migraines, arthritis, and many other issues come up after taking this medication. While not all of them do it is worth knowing. Also I would say at least 75% of the ladies I know said they felt absolutely no improvement with their pain while on Lupron. If that's the case then being on Lupron and seeing if the pain goes away may not be a great way to see if you have endo.

I'm not saying at all to not do Lupron I can't say that since I'm the one that is one it....however you need to look at things and see what the possibilities are. I do know what I am talking about however. I have had endo and have had 2 surgeries to prove it. I have heard the horror stories and I have done the research for over a year now. I have been to one of the leading endometriosis specialist in the country and even he said he wouldn't ever suggest that for anyone. I have researched everything I can find on endometriosis. Those sites are much more truthful than anything that the makers of Lupron have come out with. So please know who you are talking to and something about them before you say that I don't know anything.

Please don't feel as if I was coming down on you in my first post because that's the last thing I'm trying to do. I am very concerned for women with endo and just want everyone to have the whole story. I hope that everything works out for you and that it does end up being the cure that you need. Good luck.
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Old 03-10-2006, 04:52 PM   #8 (permalink)
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Probably not exactly what you are looking for but, My dd has been on the long acting pediatric version of Lupron for over a year to supress puberty. She definately has the mood swings and some minor weight gain that we are able to keep on top of with after school activities. (What I wouldn't pay for her metabolism!!) She does complain of being hot alot of the time but I don't know if I'd call it hot flashes. Good luck to you.
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Old 03-22-2006, 05:30 PM   #9 (permalink)
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i was on lupron for 6 months and heworst part was finding out that i have pcos... but i had hot flashes and such but they gave me something for that... it wasnt all bad.. i gained about 80 pounds but that could have been the pcos. when i wen ton the lupron that was my first time off of the pill in 12 years...
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