Med update

*Warning this contains graphic physical/medical terminology*

I had an appointment with my obgyn a week ago and we have come up with a plan of action to address my concerns.  I went to her because I have had rectal bleeding every month for over 6 months; indicating the endometriosis has advanced to the point of breaking through the mucus layer in my bowel. I am worried that a blockage could occur which would then require emergency surgery and possible long-term problems.  We discussed several possibilities but settled a multi-directional approach.
        *I am to make an appointment with my psychiatrist and find out the possibility of increasing my cymbalts to help with pain management & recent increase in depression symptoms.
        *Dr. is going to check in to a new medicine that has possible benefits for me and dealing with the endo.
        *Dr. will request depo/lupron shot approval from insurance.  She wants me to get at least one shot before having surgery.
         *Dr. will perform surgery to remove final ovary and any endo possible.
         *Will go on HRT

My concern with this plan is the depo/lupron shot.  The major side effects for this are hot flashes, night sweats, depression, weight gain and sometimes thyroid problems.  Already have night sweats, have been diagnosed bipolar 2 (depression with periods of even deeper depression), have weight issues and a thyroid problem.   The purpose of the depo/lupron is to shrink the endo.  This is done by putting your body into artificial menopause and can be administered for up to a year.  Each shot lasts 3 months.  Dr. wants me to go through one 3 month treatmen in order to shrink the endo away from the bowel a little so she possibly won't have to cut as far into that area.  However, when depo/lupron is used it is more difficult to even see the endo; diffrentiated it from other scar tissue.

I don't want to put myself or my family through the emotional upheavel it sounds like this would cause.  I'm not sure I could continue working at that point.  So much to consider and on top of it all JT and Kry had another major blow-up last night.

The bell has sounded and my time is up - I must run before I turn into a pumpkin! :)  Actually just need to get in bed so I can get a few hours of sleep before the dreaded wake-up ring causes my phone to shutter violently on my bedstand.  Goodnight.