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Wednesday, January 11, 2006

Lupron for endometriosis

Dear Dr. Amy,

I am 27 yrs. old and my gynecologist has suggested that I take Lupron to treat endometriosis. I also have a uterine fibroid and wanted to know what affect this drug will have on my fibroid. From what my doctor states it will possible shrink it but the fibroid will most likely return in six months. I want to be sure that if the fibroid does return it returns to its regular size. My fibroid is currently the size of a globe grape and it's been that size for the last 3 yrs. with no problems. I am concerned if I take the Lupron it will cause my fibroid to double in size once treatment is over for the endometriosis.

Thanks much,
D

Dear D,

Fibroids are dependent on estrogen for their growth, so when you take Lupron and your estrogen level decreases, your fibroid will shrink. When you stop Lupron, your estrogen level will eventually return to normal, and the fibroid will return to its previous size. After that, it may continue to increase in size, but that's because almost all fibroids grow larger as a woman gets older (until menopause, that is).

Sincerely,
Amy

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