Patient Pointers:

Your doctor might suggest medical therapy (drug) treatment for endometriosis, to shrink fibroid tumors in the uterus or to shrink the lining of the uterus before an endometrial ablation. Frequently prescribed drugs are the GnRH agonists, (Lupron Depot 3.75 mg). GnRH agonists work by temporarily stopping your monthly cycle, thereby allowing your body to begin to heal. The following is a list of some of the most common side effects that you may experience while taking this drug and some things you can do to help yourself cope with the side effects.


If you Experience

You should

Hot Flashes
  • Try WWP Cool Menopause AM Formula + Calcium
  • Dress in cotton or natural fibers that "breathe". Many women can "feel a hot flash coming". If you dress in layers, you can remove a layer before it starts.
  • Try to identify "triggers" that cause you to have more hot flashes and avoid them. Some common triggers are spicy food, alcohol, caffeine, hot drinks, stress, and smoking.
  • Use light makeup and waterproof mascara.
  • Avoid sunburn which makes heat regulation difficult
  • Try to keep a consistent blood sugar level with small, frequent meals. Try drinking Iced herbal teas.
  • Immerse your hands in cool water or splash your face to stop a hot flash sooner.

Vaginal Dryness
  • Use water-based lubricants made for sexual activity such as K-Y Jelly, Replens, or Astroglide (all are available without a Prescription).
  • Experiment to find the most comfortable position for intercourse

Night Sweats/
Sleep Disturbances

  • Try WWP Cool Menopause PM Formula
  • Keep a change of bedclothes at your bedside
  • Resist throwing covers off, which can result in a chill. Instead uncover an arm or leg and cool slowly.
  • If sheets get damp, try double sheeting the bed with cotton sheets and remove one layer when necessary.
  • Use cotton nightclothes.
  • If loss of sleep affects your daytime concentration or leads to depression, call your caretaker. Medication may be necessary.

Bone Loss
  • Increase your calcium intake. Good sources of calcium include dairy products (milk, yogurt, or cottage cheese), collard greens, sardines, salmon, and broccoli.
  • Do weight bearing exercises such as walking, low-impact aerobics, racquet sports, jogging, and weight lifting.
  • Long term use of Lupron may require addition of bone-building medication

Mood Changes
  • Realize that menopause usually occurs gradually (over months or years) but that these treatments may force menopause to occur in a few days.
  • Anticipate changes - sometimes it's easier to tolerate changes when you expect them and understand they're probably due to hormone changes over a short period of time.
  • Enlist the support of those close to you - ask them to help you through this temporary experience
  • Call your caretaker if you have symptoms of depression. (There is no evidence that menopause causes depression).

Adapted from: Innovations in Women's Health Nursing Vol 1, No 1, 1994


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