Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 Carla, I have to applaud you on your effort to inform those of us that did not know the effects of Lupro Depro. I wish I had known 10 years ago and also 2 1/2 years ago. If I had not had the sever side effects I would probably tried it again. I am glad that someone actually has come up to the plate and let us women know this information. Thanks again, Libby lupron although many of you may have written off this website: Lupron Victims Network http://www.lupronvictims.com/fibroids.html as being " over the top " in terms of being anti-Lupron....you should also know that the content identified on the above page is all verifiable via the bibliography cited at the bottom of the page. the history of the marketing of leuprolide acetate in this nation is one of tremendous concern to me. Honestly, there are times when I question ALL of the research surrounding this drug. So many hands have been slapped for scientific misconduct and so many hundreds of millions of dollars in fines have been paid....that I have huge issues of " trust " when it comes to this drug. I know this drug seems to help some women. but, my questions/concerns begin with the research/content outlined on the LVN webpage for fibroids listed above...and expand from there. I would like to see all women treated ethically and safely in a physician's attempt at helping them with their symptomatic fibroids. And I worry a great deal about the long term side effects of ALL treatment options....known or unknown.... It's important not to go into any given treatment with blinders on....very important...so that you can proactively and preventively choose wisely and also know how to recognize and possibly deal with specific outcomes, should they negatively occur to you. Be careful out there. The only person with your best interests at heart...is you. It's not really " we " (as in patient/physician) but always " you " (the patient) when it comes to owning your choice. No physician will ever walk a day in your shoes. No physician will ever take credit for a negative outcome for a treatment option that, ultimately, " you " chose. But, should something negative occur, you will stand alone and the " we " of treatment will quickly turn to " you " -- it was " your " choice, afterall. Please know that I am not attacking women specifically for using Lupron -- but, rather, very, very concerned about the widespread use of a drug for so many off label purposes with little to no disclosure to patients on this. and, I'm also concerned about the financial cost to ALL of us for this widespread off label practice. Truly, be careful out there. Carla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 Carla, I have to applaud you on your effort to inform those of us that did not know the effects of Lupro Depro. I wish I had known 10 years ago and also 2 1/2 years ago. If I had not had the sever side effects I would probably tried it again. I am glad that someone actually has come up to the plate and let us women know this information. Thanks again, Libby lupron although many of you may have written off this website: Lupron Victims Network http://www.lupronvictims.com/fibroids.html as being " over the top " in terms of being anti-Lupron....you should also know that the content identified on the above page is all verifiable via the bibliography cited at the bottom of the page. the history of the marketing of leuprolide acetate in this nation is one of tremendous concern to me. Honestly, there are times when I question ALL of the research surrounding this drug. So many hands have been slapped for scientific misconduct and so many hundreds of millions of dollars in fines have been paid....that I have huge issues of " trust " when it comes to this drug. I know this drug seems to help some women. but, my questions/concerns begin with the research/content outlined on the LVN webpage for fibroids listed above...and expand from there. I would like to see all women treated ethically and safely in a physician's attempt at helping them with their symptomatic fibroids. And I worry a great deal about the long term side effects of ALL treatment options....known or unknown.... It's important not to go into any given treatment with blinders on....very important...so that you can proactively and preventively choose wisely and also know how to recognize and possibly deal with specific outcomes, should they negatively occur to you. Be careful out there. The only person with your best interests at heart...is you. It's not really " we " (as in patient/physician) but always " you " (the patient) when it comes to owning your choice. No physician will ever walk a day in your shoes. No physician will ever take credit for a negative outcome for a treatment option that, ultimately, " you " chose. But, should something negative occur, you will stand alone and the " we " of treatment will quickly turn to " you " -- it was " your " choice, afterall. Please know that I am not attacking women specifically for using Lupron -- but, rather, very, very concerned about the widespread use of a drug for so many off label purposes with little to no disclosure to patients on this. and, I'm also concerned about the financial cost to ALL of us for this widespread off label practice. Truly, be careful out there. Carla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 Carla, I have to applaud you on your effort to inform those of us that did not know the effects of Lupro Depro. I wish I had known 10 years ago and also 2 1/2 years ago. If I had not had the sever side effects I would probably tried it again. I am glad that someone actually has come up to the plate and let us women know this information. Thanks again, Libby lupron although many of you may have written off this website: Lupron Victims Network http://www.lupronvictims.com/fibroids.html as being " over the top " in terms of being anti-Lupron....you should also know that the content identified on the above page is all verifiable via the bibliography cited at the bottom of the page. the history of the marketing of leuprolide acetate in this nation is one of tremendous concern to me. Honestly, there are times when I question ALL of the research surrounding this drug. So many hands have been slapped for scientific misconduct and so many hundreds of millions of dollars in fines have been paid....that I have huge issues of " trust " when it comes to this drug. I know this drug seems to help some women. but, my questions/concerns begin with the research/content outlined on the LVN webpage for fibroids listed above...and expand from there. I would like to see all women treated ethically and safely in a physician's attempt at helping them with their symptomatic fibroids. And I worry a great deal about the long term side effects of ALL treatment options....known or unknown.... It's important not to go into any given treatment with blinders on....very important...so that you can proactively and preventively choose wisely and also know how to recognize and possibly deal with specific outcomes, should they negatively occur to you. Be careful out there. The only person with your best interests at heart...is you. It's not really " we " (as in patient/physician) but always " you " (the patient) when it comes to owning your choice. No physician will ever walk a day in your shoes. No physician will ever take credit for a negative outcome for a treatment option that, ultimately, " you " chose. But, should something negative occur, you will stand alone and the " we " of treatment will quickly turn to " you " -- it was " your " choice, afterall. Please know that I am not attacking women specifically for using Lupron -- but, rather, very, very concerned about the widespread use of a drug for so many off label purposes with little to no disclosure to patients on this. and, I'm also concerned about the financial cost to ALL of us for this widespread off label practice. Truly, be careful out there. Carla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 > However, one month of Lupron along with iron therapy resolved my > anemia, yet my doctor wants me to continue taking it if I'm going to > have surgery. (Presumably to shrink fibroid and reduce blood flow to > the tumor). This sentence above was sent to me privately so I won't reveal who it came from, however, I do think my response should get posted to the group so am opting to do that on this one. While this patient did opt to discontinue Lupron use after her anemia was under control, on a case like the one above where continued Lupron therapy is recommended and accepted, how will the the doc's office submit it to insurance for coverage and payout for each subsequent shot? From what I understand from talking to insurance providers, if it isn't approved by the FDA for " shrinking fibroids " or " reducing operative bleeding " (which it isn't), then the drug isn't paid for by insurance providers. If it's not covered by Medicare due to lack of FDA approval....that means that it shouldn't be covered by any insurance provider in the nation....yet, it routinely is paid for by insurance providers according to many, many women who've received the in-office injections for off label uses. I spoke to a medical review rep at my insurance provider's office this morning...and was told that because it is an expensive drug, insurance providers do ask to see chart notes for verification of need....and that if the chart notes don't match the approved uses of the drug...it isn't approved. so, if docs are gaining coverage for their patients on off-label uses for this drug....what does that mean they are charting and submitting to insurance providers? oh, and while you are mulling over this question...also consider that whatever a physician charts and submits to your insurance provider becomes a permanent record that follows you around just like a bad credit report that you just can't correct or shake off.... and the information is openly shared among insurance providers when you, quite possibly, may need to apply for new insurance in the future....there's even a reporting service that manages this information -- much like the 3 major credit reporting agencies manage your credit history information. it's one of the primary reasons that I advocate never, ever letting your insurance lapse...not even between jobs...pick up that Cobra if you have to and do whatever it takes to keep yourself covered. any lapse in coverage leaves you wide open to the possibility of permanent exclusionary riders based on your prior medical history.... women have contacted me for help who couldn't get reasonable coverage after undergoing a myomectomy or hysterectomy. they were deemed high medical risks with potential for long term medical needs and possible future surgery -- between ongoing HRT needs and possible prolapse repair at some point in the future, hysterectomy patients have it rough in trying to find " reasonable " coverage if they allow a lapse. permanent exclusionary riders are actually quite common for those women seeking private/independent coverage. others have contacted me who couldn't get reasonable coverage after a diagnosis of fibroids. just a diagnosis. regardless of symptoms, age, etc. there are a LOT of reasons to choose medical care wisely and pay close attention to what is getting charted and submitted to your insurance provider. and even more reasons to never allow a lapse in coverage. carla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 > However, one month of Lupron along with iron therapy resolved my > anemia, yet my doctor wants me to continue taking it if I'm going to > have surgery. (Presumably to shrink fibroid and reduce blood flow to > the tumor). This sentence above was sent to me privately so I won't reveal who it came from, however, I do think my response should get posted to the group so am opting to do that on this one. While this patient did opt to discontinue Lupron use after her anemia was under control, on a case like the one above where continued Lupron therapy is recommended and accepted, how will the the doc's office submit it to insurance for coverage and payout for each subsequent shot? From what I understand from talking to insurance providers, if it isn't approved by the FDA for " shrinking fibroids " or " reducing operative bleeding " (which it isn't), then the drug isn't paid for by insurance providers. If it's not covered by Medicare due to lack of FDA approval....that means that it shouldn't be covered by any insurance provider in the nation....yet, it routinely is paid for by insurance providers according to many, many women who've received the in-office injections for off label uses. I spoke to a medical review rep at my insurance provider's office this morning...and was told that because it is an expensive drug, insurance providers do ask to see chart notes for verification of need....and that if the chart notes don't match the approved uses of the drug...it isn't approved. so, if docs are gaining coverage for their patients on off-label uses for this drug....what does that mean they are charting and submitting to insurance providers? oh, and while you are mulling over this question...also consider that whatever a physician charts and submits to your insurance provider becomes a permanent record that follows you around just like a bad credit report that you just can't correct or shake off.... and the information is openly shared among insurance providers when you, quite possibly, may need to apply for new insurance in the future....there's even a reporting service that manages this information -- much like the 3 major credit reporting agencies manage your credit history information. it's one of the primary reasons that I advocate never, ever letting your insurance lapse...not even between jobs...pick up that Cobra if you have to and do whatever it takes to keep yourself covered. any lapse in coverage leaves you wide open to the possibility of permanent exclusionary riders based on your prior medical history.... women have contacted me for help who couldn't get reasonable coverage after undergoing a myomectomy or hysterectomy. they were deemed high medical risks with potential for long term medical needs and possible future surgery -- between ongoing HRT needs and possible prolapse repair at some point in the future, hysterectomy patients have it rough in trying to find " reasonable " coverage if they allow a lapse. permanent exclusionary riders are actually quite common for those women seeking private/independent coverage. others have contacted me who couldn't get reasonable coverage after a diagnosis of fibroids. just a diagnosis. regardless of symptoms, age, etc. there are a LOT of reasons to choose medical care wisely and pay close attention to what is getting charted and submitted to your insurance provider. and even more reasons to never allow a lapse in coverage. carla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 > However, one month of Lupron along with iron therapy resolved my > anemia, yet my doctor wants me to continue taking it if I'm going to > have surgery. (Presumably to shrink fibroid and reduce blood flow to > the tumor). This sentence above was sent to me privately so I won't reveal who it came from, however, I do think my response should get posted to the group so am opting to do that on this one. While this patient did opt to discontinue Lupron use after her anemia was under control, on a case like the one above where continued Lupron therapy is recommended and accepted, how will the the doc's office submit it to insurance for coverage and payout for each subsequent shot? From what I understand from talking to insurance providers, if it isn't approved by the FDA for " shrinking fibroids " or " reducing operative bleeding " (which it isn't), then the drug isn't paid for by insurance providers. If it's not covered by Medicare due to lack of FDA approval....that means that it shouldn't be covered by any insurance provider in the nation....yet, it routinely is paid for by insurance providers according to many, many women who've received the in-office injections for off label uses. I spoke to a medical review rep at my insurance provider's office this morning...and was told that because it is an expensive drug, insurance providers do ask to see chart notes for verification of need....and that if the chart notes don't match the approved uses of the drug...it isn't approved. so, if docs are gaining coverage for their patients on off-label uses for this drug....what does that mean they are charting and submitting to insurance providers? oh, and while you are mulling over this question...also consider that whatever a physician charts and submits to your insurance provider becomes a permanent record that follows you around just like a bad credit report that you just can't correct or shake off.... and the information is openly shared among insurance providers when you, quite possibly, may need to apply for new insurance in the future....there's even a reporting service that manages this information -- much like the 3 major credit reporting agencies manage your credit history information. it's one of the primary reasons that I advocate never, ever letting your insurance lapse...not even between jobs...pick up that Cobra if you have to and do whatever it takes to keep yourself covered. any lapse in coverage leaves you wide open to the possibility of permanent exclusionary riders based on your prior medical history.... women have contacted me for help who couldn't get reasonable coverage after undergoing a myomectomy or hysterectomy. they were deemed high medical risks with potential for long term medical needs and possible future surgery -- between ongoing HRT needs and possible prolapse repair at some point in the future, hysterectomy patients have it rough in trying to find " reasonable " coverage if they allow a lapse. permanent exclusionary riders are actually quite common for those women seeking private/independent coverage. others have contacted me who couldn't get reasonable coverage after a diagnosis of fibroids. just a diagnosis. regardless of symptoms, age, etc. there are a LOT of reasons to choose medical care wisely and pay close attention to what is getting charted and submitted to your insurance provider. and even more reasons to never allow a lapse in coverage. carla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 > > *****However, one month of Lupron along with iron therapy resolved my > > anemia, yet my doctor wants me to continue taking it if I'm going to > > have surgery. (Presumably to shrink fibroid and reduce blood flow to > > the tumor). > > This sentence above was sent to me privately so I won't reveal who it > came from, however, I do think my response should get posted to the > group so am opting to do that on this one.****** Carla, and ladies of this board, I inadvertently sent this through e-mail, but it was my post that Carla is referring to above. I just thought it was noteworthy to mention two things about this exchange with my doctor: 1. The pharmacy who sent the Lupron to my doctor called me at home, not once, but twice to verify that I knew that he was prescribing it for me, and that I knew I was the intended recipient. At the time, I thought it was an extremely odd thing to do. Now that I know more about Lupron, I realize it was a cover their %$# sort of thing to do, because it is a rather dangerous drug, in my opinion. 2. Carla's comment about your medical record following you around like a bad credit report struck a chord with me. It clearly states in my sonogram report that I have been suffering excessive bleeding and pain for months( I haven't, just a month or two), that a hysterectomy is indicated and was discussed with the patient( if you consider what we had a discussion), patient agrees with the hysterectomy treatment option. Well, I NEVER SAID ANY OF THAT!!!! At the time, I may have said that the bleeding was getting out of hand, and I probably just sat there in mute shock over they word " hysterectomy, " but does that constitute agreement???? In addition to that, I had a very hard time getting the nurses to let me read my own sonogram report. Does that tell you that they sometimes use a lot of latitude in reporting what you tell them? Ay Caramba! At this point, I feel that doctors can manipulate pretty much anything you say. I shudder to think what would happen if my insurance company held me to that report, refusing to authorize any other treatment, just because I supposedly agreed with the doctor during our " discussion " of hysterectomy. Thank you Carla, for bringing up this point. Now I'm really mad..... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 > > *****However, one month of Lupron along with iron therapy resolved my > > anemia, yet my doctor wants me to continue taking it if I'm going to > > have surgery. (Presumably to shrink fibroid and reduce blood flow to > > the tumor). > > This sentence above was sent to me privately so I won't reveal who it > came from, however, I do think my response should get posted to the > group so am opting to do that on this one.****** Carla, and ladies of this board, I inadvertently sent this through e-mail, but it was my post that Carla is referring to above. I just thought it was noteworthy to mention two things about this exchange with my doctor: 1. The pharmacy who sent the Lupron to my doctor called me at home, not once, but twice to verify that I knew that he was prescribing it for me, and that I knew I was the intended recipient. At the time, I thought it was an extremely odd thing to do. Now that I know more about Lupron, I realize it was a cover their %$# sort of thing to do, because it is a rather dangerous drug, in my opinion. 2. Carla's comment about your medical record following you around like a bad credit report struck a chord with me. It clearly states in my sonogram report that I have been suffering excessive bleeding and pain for months( I haven't, just a month or two), that a hysterectomy is indicated and was discussed with the patient( if you consider what we had a discussion), patient agrees with the hysterectomy treatment option. Well, I NEVER SAID ANY OF THAT!!!! At the time, I may have said that the bleeding was getting out of hand, and I probably just sat there in mute shock over they word " hysterectomy, " but does that constitute agreement???? In addition to that, I had a very hard time getting the nurses to let me read my own sonogram report. Does that tell you that they sometimes use a lot of latitude in reporting what you tell them? Ay Caramba! At this point, I feel that doctors can manipulate pretty much anything you say. I shudder to think what would happen if my insurance company held me to that report, refusing to authorize any other treatment, just because I supposedly agreed with the doctor during our " discussion " of hysterectomy. Thank you Carla, for bringing up this point. Now I'm really mad..... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2002 Report Share Posted February 7, 2002 > > > Lupron is used by docs for a whole lot of reasons that have NOT been proven to be the case of efficacy > whatsoever in the medical literature nor proven to the FDA that it is worth the trade off in risks for > women to take it for those reasons. > > During surgery, doctors have other, APPROVED drugs they can use to inject into the area to cut down on > bleeding. They do NOT need a patient to suffer through Lupron crap before the surgery. > > Now, for women choosing a myomectomy and needing something to help them get pre-operative anemia under > control, okay. That's a reasonable ON LABEL use of the drug. Worth the risk for most women who are > at that stage of anemia, from what I understand via communication coming directly from the vast > majority of them. Yes, that is a reasonable on label use of the drug, but how many doctors recommend that their patients try iron pills alone first to treat anemia? Even the Lupron brochures in the doctors' offices suggest this. I was able to bring my hemoglobin up from 7.6 to over 12 in 2 months using iron pills, as recommended by a doctor. My blood counts have been normal now for a year and a half, and I now take iron only during my periods. Still, several doctors have tried to get me to go on Lupron, to " shrink the fibroid and make an easier surgery, " to " stop your periods, " and to possibly have a hysteroscopic myomectomy. None of these doctors told me this was an " OFF LABEL " use of the drug, although the Lupron brochure in their offices states that Lupron is for treating anemia prior to surgery. Most of these doctors did not inform me of Lupron's side effects until I asked. Even then, most of them mentioned just hot flashes. One doctor didn't even explain to me that Lupron was a temporary measure - he talked as if Lupron was an option separate from surgery. Another doctor told me " in addition to hot flashes, you may have insomnia, and memory loss caused by not getting enough sleep. " I finally found a doctor who did a quick office hysteroscopy which ruled out hysteroscopic myomectomy even if I was to go on Lupron. All these other doctors put me through numerous tests and recommended Lupron, and it would have been for nothing. This doctor uses Lupron only when a patient is markedly anemic. Wow! A doctor that actually complies with the FDA's approved use of Lupron. Therese Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2002 Report Share Posted February 7, 2002 terrigeri wrote: > only when a patient is markedly anemic. Wow! A doctor that actually > complies with the FDA's approved use of Lupron. One reason I was pretty happy with my new doctor is that he saves Lupron to use only in case of severe anemia. He explained that he didn't like the fact that it sometimes made tumors harder to see/remove--much like the article stated that was posted earlier. I'm so relieved he doesn't want to use it with me. My other doctor, the one that delivered my son, was ready to start it right away. Yuck! Dee Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2002 Report Share Posted February 7, 2002 terrigeri wrote: > only when a patient is markedly anemic. Wow! A doctor that actually > complies with the FDA's approved use of Lupron. One reason I was pretty happy with my new doctor is that he saves Lupron to use only in case of severe anemia. He explained that he didn't like the fact that it sometimes made tumors harder to see/remove--much like the article stated that was posted earlier. I'm so relieved he doesn't want to use it with me. My other doctor, the one that delivered my son, was ready to start it right away. Yuck! Dee Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2002 Report Share Posted February 7, 2002 terrigeri wrote: > only when a patient is markedly anemic. Wow! A doctor that actually > complies with the FDA's approved use of Lupron. One reason I was pretty happy with my new doctor is that he saves Lupron to use only in case of severe anemia. He explained that he didn't like the fact that it sometimes made tumors harder to see/remove--much like the article stated that was posted earlier. I'm so relieved he doesn't want to use it with me. My other doctor, the one that delivered my son, was ready to start it right away. Yuck! Dee Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2002 Report Share Posted February 7, 2002 --- Hi Group, After reading today's posts. Iwonder why the heck my DR. put me on Lupron, which I just started. My anemia is controlled by my iron pills. The tumor in my uterus he wants to remove is about 4cm perdunculated. I have many others but this one he believes is causing the heavy bleeding. I wonder if I should ask him if he could do the surgury with me just finishing this one dose of Lupron. When I went for the surgury consultation he gave me the impression it would make the surgury easier and less blood loss. What would you guys do. Why do Dr.'s recommend this for other reasons other than anemia. I don't get it. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2002 Report Share Posted February 7, 2002 What kind of surgery is your doctor planning? If he is planning on a hysteroscopic myo, then 4 cm may be a bit too big to remove that way. --- gina craig wrote: > > --- Hi Group, > After reading today's posts. Iwonder why the heck > my > DR. put me on Lupron, which I just started. My > anemia > is controlled by my iron pills. The tumor in my > uterus he wants to remove is about 4cm > perdunculated. > I have many others but this one he believes is > causing > the heavy bleeding. I wonder if I should ask him if > he could do the surgury with me just finishing this > one dose of Lupron. When I went for the surgury > consultation he gave me the impression it would make > the surgury easier and less blood loss. What would > you > guys do. Why do Dr.'s recommend this for other > reasons other than anemia. I don't get it. > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2002 Report Share Posted February 7, 2002 Hi , Your story sounds familiar.... it sounds like I have the exact same thing as you do. As I understand it, removal of fibroids hysteroscopically is a tricky undertaking. One doctor may be comfortable doing it on a 5 cm fibroid without Lupron, where another may have difficulty with a 3 cm even AFTER Lupron. I think it relates mainly to the location of the fibroid (as in, on which wall it is attached, and how skilled the doctor is in general.) Perhaps your doctor would feel more comfortable doing it after 3 months of Lupron, because he hasn't had good luck with larger fibroids. My doctor told me the same thing, so I am getting another doctor. He said, and I quote , " It's a bit like moving a pile of dirt with a spoon - slow and tedious. " I felt that if he was going to make me go through three months of hot flashes and other nastiness, he probably wasn't the best guy for the job in the first place. I had one shot already, nearly five weeks ago, and I am not bleeding anymore at all. But, I still have hot flashes daily - and nightly - and I cannot wait for those to go away! So, I opted to stop the Lupron therapy and see another doctor. Hopefully, it was the right decision, but I won't know until the next doctor examines me. I can tell you that the Lupron has shrunk my fibroid to the point that I don't even know it is there anymore. No bloating, no bladder pressure, no pain and no bleeding at all. I wish it would last, but I know it won't. By the way, take calcium, iron and a good multivitamin while you are on the Lupron, it has really helped me feel healthier in spite of the hot flashes. I have also had chronic insomnia ever since my daughter was born eight years ago, and I do believe all the extra vitamins and minerals I am taking are helping with that too!!! Judy > > --- Hi Group, > After reading today's posts. Iwonder why the heck my > DR. put me on Lupron, which I just started. My anemia > is controlled by my iron pills. The tumor in my > uterus he wants to remove is about 4cm perdunculated. > I have many others but this one he believes is causing > the heavy bleeding. I wonder if I should ask him if > he could do the surgury with me just finishing this > one dose of Lupron. When I went for the surgury > consultation he gave me the impression it would make > the surgury easier and less blood loss. What would you > guys do. Why do Dr.'s recommend this for other > reasons other than anemia. I don't get it. > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2002 Report Share Posted February 7, 2002 Hi , Your story sounds familiar.... it sounds like I have the exact same thing as you do. As I understand it, removal of fibroids hysteroscopically is a tricky undertaking. One doctor may be comfortable doing it on a 5 cm fibroid without Lupron, where another may have difficulty with a 3 cm even AFTER Lupron. I think it relates mainly to the location of the fibroid (as in, on which wall it is attached, and how skilled the doctor is in general.) Perhaps your doctor would feel more comfortable doing it after 3 months of Lupron, because he hasn't had good luck with larger fibroids. My doctor told me the same thing, so I am getting another doctor. He said, and I quote , " It's a bit like moving a pile of dirt with a spoon - slow and tedious. " I felt that if he was going to make me go through three months of hot flashes and other nastiness, he probably wasn't the best guy for the job in the first place. I had one shot already, nearly five weeks ago, and I am not bleeding anymore at all. But, I still have hot flashes daily - and nightly - and I cannot wait for those to go away! So, I opted to stop the Lupron therapy and see another doctor. Hopefully, it was the right decision, but I won't know until the next doctor examines me. I can tell you that the Lupron has shrunk my fibroid to the point that I don't even know it is there anymore. No bloating, no bladder pressure, no pain and no bleeding at all. I wish it would last, but I know it won't. By the way, take calcium, iron and a good multivitamin while you are on the Lupron, it has really helped me feel healthier in spite of the hot flashes. I have also had chronic insomnia ever since my daughter was born eight years ago, and I do believe all the extra vitamins and minerals I am taking are helping with that too!!! Judy > > --- Hi Group, > After reading today's posts. Iwonder why the heck my > DR. put me on Lupron, which I just started. My anemia > is controlled by my iron pills. The tumor in my > uterus he wants to remove is about 4cm perdunculated. > I have many others but this one he believes is causing > the heavy bleeding. I wonder if I should ask him if > he could do the surgury with me just finishing this > one dose of Lupron. When I went for the surgury > consultation he gave me the impression it would make > the surgury easier and less blood loss. What would you > guys do. Why do Dr.'s recommend this for other > reasons other than anemia. I don't get it. > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2002 Report Share Posted February 8, 2002 gina are you having a myomectomy? i am scheduled for one on march 28th. i am on lupron and i like u have had only one shot and i am going to stay on it. according to my doctor there will be less blood loss during surgery if i take the injections and isnt that an important factor to you? it certainly is to me. also the fibroids will shrink while on lupron making surgery easier, make sure u are taking calcium supplements to keep your bones strong while on lupron, my doctor recommended 1200 mg along with 500 D for absorbtion. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2002 Report Share Posted February 8, 2002 Hi Judy, /Wow, I can't believe you stopped the shots. Good for you. I like my DR. I saw 3 others, and they all said they would rather see Dr. MaGrade do the surgury. He is a high risk specialist for pregnancies so I heard he is a good surgeon. I feel comfortable with him and the stress for me to keep going to Dr's. is too much. All the other ones also recommended Lupron. He will remove that tumor I mentioned and then he wants me to wait 2 periods, and if it doesn't help the bleeding I will go for the UFE. Actually, that was my first choice but this tumor I have should be removed before the other Procedure, because I could expel it or have Post-embo syndrome. I have been taking supplements for months now and I feel great. I had the Lupron on tuesday, but so far I feel fine. Just waitng around now for some side effects. I's supposed to get my period any day now. So waiting to see if it comes or I'm lucky and skip them for a while. The fibroids feel like they are all moving around and kicking eachother. I've had some discharge, but no blood yet. I'll let you know. Good Luck finding another Dr. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2002 Report Share Posted February 8, 2002 Hi Judy, /Wow, I can't believe you stopped the shots. Good for you. I like my DR. I saw 3 others, and they all said they would rather see Dr. MaGrade do the surgury. He is a high risk specialist for pregnancies so I heard he is a good surgeon. I feel comfortable with him and the stress for me to keep going to Dr's. is too much. All the other ones also recommended Lupron. He will remove that tumor I mentioned and then he wants me to wait 2 periods, and if it doesn't help the bleeding I will go for the UFE. Actually, that was my first choice but this tumor I have should be removed before the other Procedure, because I could expel it or have Post-embo syndrome. I have been taking supplements for months now and I feel great. I had the Lupron on tuesday, but so far I feel fine. Just waitng around now for some side effects. I's supposed to get my period any day now. So waiting to see if it comes or I'm lucky and skip them for a while. The fibroids feel like they are all moving around and kicking eachother. I've had some discharge, but no blood yet. I'll let you know. Good Luck finding another Dr. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2002 Report Share Posted February 8, 2002 Hi Judy, /Wow, I can't believe you stopped the shots. Good for you. I like my DR. I saw 3 others, and they all said they would rather see Dr. MaGrade do the surgury. He is a high risk specialist for pregnancies so I heard he is a good surgeon. I feel comfortable with him and the stress for me to keep going to Dr's. is too much. All the other ones also recommended Lupron. He will remove that tumor I mentioned and then he wants me to wait 2 periods, and if it doesn't help the bleeding I will go for the UFE. Actually, that was my first choice but this tumor I have should be removed before the other Procedure, because I could expel it or have Post-embo syndrome. I have been taking supplements for months now and I feel great. I had the Lupron on tuesday, but so far I feel fine. Just waitng around now for some side effects. I's supposed to get my period any day now. So waiting to see if it comes or I'm lucky and skip them for a while. The fibroids feel like they are all moving around and kicking eachother. I've had some discharge, but no blood yet. I'll let you know. Good Luck finding another Dr. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2002 Report Share Posted February 9, 2002 Dorie I am on my second 6 month round of Lupron ... I only take it because I really don't seem to have any other options at this time ... I am not a surgery candidate. Lupron has some unpleasant side effects ... hot flashes, night sweats, my hair fell out, horrible mood swings and the list goes on ... not to mention the possible long term effects. If your doctor feels he/she can remove the fibroid either way and has no preference ... then why take Lupron? Make the right decision for you -- good luck. Jana Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2002 Report Share Posted February 9, 2002 Dorie I am on my second 6 month round of Lupron ... I only take it because I really don't seem to have any other options at this time ... I am not a surgery candidate. Lupron has some unpleasant side effects ... hot flashes, night sweats, my hair fell out, horrible mood swings and the list goes on ... not to mention the possible long term effects. If your doctor feels he/she can remove the fibroid either way and has no preference ... then why take Lupron? Make the right decision for you -- good luck. Jana Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2002 Report Share Posted February 9, 2002 Dorie I am on my second 6 month round of Lupron ... I only take it because I really don't seem to have any other options at this time ... I am not a surgery candidate. Lupron has some unpleasant side effects ... hot flashes, night sweats, my hair fell out, horrible mood swings and the list goes on ... not to mention the possible long term effects. If your doctor feels he/she can remove the fibroid either way and has no preference ... then why take Lupron? Make the right decision for you -- good luck. Jana Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2002 Report Share Posted February 9, 2002 Hi Dorie, I do NOT have experience with Lupron, first of all, but I have a myomectomy scheduled for 2 weeks from now. My doctor did not want to put me on Lupron, and I cheered very happily at that news. I had read a lot about the side effects, and I have had *horrible* experiences when placed on any kind of additional hormonal medication (Lunelle, Ortho Tricyclin, etc.) The reasons he gave were: 1) unpleasant side effects, and 2) shrinkage of tumors sometimes makes them harder to see/dissect for removal (He wanted the clearest view possible). So he wanted to avoid it (as did I) for the same reasons you state. On the other hand, I know it has helped lots of women feel more comfortable. My approach, though, was to avoid it at all costs, unless absolutely needed. As has been discussed here earlier this week, it's actually not approved for shrinking fibroids, but it's used for that purpose a lot. Good luck with your decision! Dee Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2002 Report Share Posted February 9, 2002 Hi Dorie, I do NOT have experience with Lupron, first of all, but I have a myomectomy scheduled for 2 weeks from now. My doctor did not want to put me on Lupron, and I cheered very happily at that news. I had read a lot about the side effects, and I have had *horrible* experiences when placed on any kind of additional hormonal medication (Lunelle, Ortho Tricyclin, etc.) The reasons he gave were: 1) unpleasant side effects, and 2) shrinkage of tumors sometimes makes them harder to see/dissect for removal (He wanted the clearest view possible). So he wanted to avoid it (as did I) for the same reasons you state. On the other hand, I know it has helped lots of women feel more comfortable. My approach, though, was to avoid it at all costs, unless absolutely needed. As has been discussed here earlier this week, it's actually not approved for shrinking fibroids, but it's used for that purpose a lot. Good luck with your decision! Dee Quote Link to comment Share on other sites More sharing options...
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