Wednesday, October 29, 2014

Life on Lupron: weeks 3-4

I get my second shot tomorrow.

So far, so good in my opinion.

Here are what weeks three and four have brought.

Week 3: hot flashes have disappeared! Also, I am sleeping much better (not sweaty either!) and am not unusually tired during the day any more. Ahhh, back to normal, and it feels great.

The only unsavory thing week three brought was cramping, and a bit of spotting. The cramping was terrible, and I'd wonder if I was going to start my period at any time. I usually associate that sort of cramping with an insanely heave flow, so you can probably imagine the panic I felt. But it was just a bit of spotting.

Around the end of week three and into week four, I started to bleed a little more. It seemed like I'd wake up, pretty much in the middle of the night, or morning to more than spotting. So, I thought I'd finally started some kind of period. It was pretty light, until one day when I cramped pretty bad and passed some tissue. It wasnt like anything I'd ever seen before, so I think it was probably some sort of scar tissue, or fibroid or something? I'll have to ask the doctor about it. So, I'd bleed lightly during the early morning hours and be fine by lunch. I've been dealing with that for most of this week, off and on.

But, honestly, I'm great with that. I was really worried about what sort of cycle I was going to experience, if I had one at all. This just shows me that my hormones are being suppressed the way they should be, and that hopefully next month I wont experience any sort of cycle at all.

Overall, I'm pretty happy with how all of this is going. I really hope that it works well as far as starving the endometriosis out, and that my end results are good! Even if it means just being endometriosis and pain free for awhile, that's better than how things were before.

Five more months!

Tuesday, October 14, 2014

Life on Lupron: weeks 1-2

Two weeks ago, I received my first dose of the Lupron Depot shot. I had been super scared about it (go Google Lupron and read all of the horror stories, if you're so inclined) and also didnt want a huge needle injected in my tushy! It was technically "the hip."  Yeah, it's close enough to cheek for me! I was super scared about how much it would hurt. It hardly hurt at all, and I was super glad of it.

I was also given a bottle of "Add-Back" (norethindrone acetate) which is supposed to help ease the side effects, and comes with it's own lovely warnings. But I'm pretty healthy and shouldnt have any issues with it at all.

Anyway, Lupron Depot spikes your estrogen levels and then slowly bottoms out. I was told that I probably wouldnt notice any side effects for a couple of weeks. If you read the reviews online about it, ladies have said they felt them right away, or overnight, or within a few days, and that they were HORRIBLE!!!!

I thought I was smooth sailing. Week one only equaled mild cramping. For a whole week, all day, yes, but I imagine I could compare them to an easy day on your period, for "normal" people.

Almost right at the one week point, I experienced my first hot flash. Not really a flash. More like a flush. Imagine having a fever, or blushing really hard for about 5 minutes straight. My ears and the back of my neck were burning.

It happened at work, out of the blue. I looked over at my coworker and I guess the look on my face prompted her to ask me what was wrong. I asked if  my ears were red, they felt like they were burning. She said "Oh yeah! They sure are!" And we kind of giggled together.

Now I experience these flushes quite often. I just feel like I'm running a fever sometimes, but it's not accompanied by any rapid pulse, anxiety or sweating or anything really bothersome. Sometimes my ears just feel like they're on fire. It isnt awful, or really even all that annoying. I'm not gasping for breath or wanting to tear my clothes off, or sticking my face in the freezer, or any of those other things ladies in menopause usually complain about hot flashes feeling like.

Second symptom: night sweats. I honestly couldnt tell at first if these were for real, or if it was because the seasons are changing, and I've had to add more blankets to the bed lately. It's like my body just cant regulate it's temperature. I wake up all sweaty and gross and freezing at the same time. I toss and turn and cant really seem to sleep through the night anymore. I dont ever feel super well-rested anymore, which is probably what contributes to the last symptom...

Fatigue. I have a hard time dragging myself out of bed every morning. I'm a little fuzzier for longer at work, and yawn my way through my shift. Then when I get home, I feel like a slug. It even physically feels like my arms and legs are heavier than usual. This is a close second to bothersome, after not sleeping well. And I just generally feel exhausted all the stinking time. But, I still manage to get through my day, but have had to add a nap in the afternoon almost every day after work. It makes getting through chores and bible studying really hard, as my motivation has gone to crap.

Other than these things, I've been just fine. My cramps have basically disappeared (I'm still worried about what my next period will be like) and I havent had any insane mood swings, thank GOD!!! I did feel a little eeeeeekkkk!!! this afternoon, but I believe it was just based on circumstance. I broke my food processor and that pissed me off, and had crammed more things into my afternoon than I wanted to (and no nap) and I'm cranky. No crying or bitching for no reason, which is what I was really worried about. I dont wanna be a psycho!

All in all, not so bad! It's my theory that Lupron horror stories stem from getting the shot in a 3 or 6 month dose, and it makes ladies all whacked out. So, as long as this is all I'm experiencing, I'll just ask if we can keep dosing me a month at a time!!

Wednesday, October 1, 2014

All is not lost

I believe in my last post, I was telling you all of the doubts I had about wanting a baby. Some days, those feelings are still there.

Here is what has happened over the last month or so.

I was scheduled for my normal yearly exam at the end of August. I went in, reviewed all of my symptoms, and was advised that we go ahead with the laparoscopy to see exactly what we were dealing with. It was really my only chance at having a solid diagnosis. My exam was on August 26th. They scheduled my surgery the week after that. I was expecting a long wait, but that was not the case. In fact, if I hadn't taken any ibuprofen the week of my exam, they would have gotten me in the same week! Anyhow, I freaked out a bit because it was sooner than I was expecting, but I was also glad. And I have to mention here how amazing my job is. They got me covered for the whole week after, so I could recover, and I never felt guilt tripped or like I was being a burden on them. I love SMB.

So Friday, September 5th, I went in for surgery. We were there for 10 hours. Apparently someone before me was having complications, and it pushed my procedure back about 5 hours.

Anyway, I get out and finally coherent, and Matt tells me the diagnosis. Severe endometriosis. They couldnt get it all without my undergoing major surgery, with about a week or so in the hospital.

All I heard was, "Severe" and "couldnt get it all."  My hope tanked. I went through a few days of a kind of depression. I was so heartbroken. My heart was broken, my body was broken. I felt like I was in the dark, and just wallowed in it. Bursting into tears with no warning. I hated my body. I had an expensive procedure done, and STILL HAD NO HOPE of it doing enough to help me conceive.

My follow-up appointment was 10 days after surgery. The doctor showed me pictures and explained exactly what was going on inside me. My case of endometriosis went so long with out any sort of treatment, that it had basically glued some of my organs together. My colon is stuck to my uterus, along with both ovaries. It causes very painful symptoms, and the only way to "unstick" them, would be to do a major surgery, and probably remove part of my colon. I suppose if I ever have to get a hysterectomy, they will probably have to do that then.

I asked him what endometriosis was, and how it's caused. It's basically like a cancer. They dont understand what causes it, but it acts the same way. It builds up on your organs, and sets up it's own blood supply, and feeds itself while it spreads over reproductive and surrounding organs. It can cause organs to adhere to each other. Which is what happened to me.

I broke down in the stupid office. Still feelings of hopelessness.

Then he mentioned Lupron Depot. This shot shuts down a woman's hormones, basically putting her into a menopausal state. What happens then, is your body stops producing the hormones that feed endometriosis, and the endometriosis starves. The treatment lasts 6 months, with at least half of the treatment period-free! This shot also causes some lovely side effects: vaginal dryness, mood swings, depression, hot flashes, no sex drive, and bone loss. Dont those sound great?! Well you can look forward to that too, when you're about 50 years old.

Matt and I decided that this would be my best chance. Trials show that women who did the shot after laparoscopy went (endometriosis) symptom free for more than 5 years. And! I could get pregnant after 6 months of treatment. Seems to us to be a win. Or, at least some sort of good news.

So that's where I am. I have been really nervous about the symptoms of the Lupron shot, but I'm sucking it up, and had gone to get my first dose today. I also get to take a pill that helps counter all of the side effects. Of course, everyone's bodies are different, so I didnt get a very good explaination of how mine will react. So it's a wait-and-see. And it sort of scares me.

The only only thing that has ever kept me out of the dark completely in this so far, is knowing that God has made me this way, set this path before me, and will get me through it. With an amazing husband, with really good friends, a great church, and a lovely work place, He has given me so much, and He will see me through this.