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Re: ovarian cysts&more(Lupron Question)
From: Luanne (anonymous@obgyn.net)
Thu, 1 May 1997 09:18:50 -0500 (CDT)
Would you clarify the differences between Lupron and Lupron
Depot--including the differences in their uses and FDA approval?
Thanks, Luanne
At Wed, 30 Apr 1997, Susan wrote:
>As I stated in my other message referrenced above, Lupron Depot is only
>approved
>by the FDA for use pre-surgically for women who are anemic due to
>fibroids. THe
>use of this drug in your case may have been inappropriate based on these
>guidelines.
>What we don't know about these drugs is the long term effects on ovarian
>function
>after the treatment is stopped. These are potentially dangerous drugs
>that should
>be used very conservatively. your doctor used the drug for the maximum
>time allowed
>under law, which is very risky. Most studies show that the desired
>clinical results
>can be obtained within 3 months use, and a 6 month trial is often
>unnecessary. It is
>possible that the shock of lengthy treatment with Lupron was more than
>your ovaries
>could take and you are now suffering from premature ovarian failure.
>
>If this is so, you may want to ask for a referral to an endocrinologist,
>as hormones
>and such are their specialty. It is also still possible that your
>ovaries will recover
>with time. Right now, you need to consider taking estrogen to maintain
>your bone
>density and prevent cardiovascular disease. An endocrinologist can help
>with this also.
>
>If you do not have access to another military hospital for your second
>opinion, it
>may be possible to see a civilian provider in order to obtain a second,
>objective
>opinion. If you cannot obtain assistance through the OB/GYN clinic,
>contact the
>Patient Affairs Representative and/or Health Benefits Advisor in the
>hospital. You
>can alos do this military style, and ask to consult with the chief of
>the clinic
>(Senior Doctor) and go from there.
>
>Do not allow yourself to be a victim of this socialized medicine
>environment. You
>have rights and should never be used as a "guinea pig" without your full
>understanding
>of the risks and benefits, as well as your consent.
>
>Good luck to you, and get yourself some help!
>
>--
>Susan Boyles
>
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