Stephanie H. asked

👶  Ob Gyn

I'm 51 years old, diagnosed with fibroids for over 12 years, which have grown from 2 cm to 10 cm last year. I experience a lot of pain during my period, pelvic pressure, and constipation. Given my age and being in peri-menopause, I hope to avoid surgery. Can I take a GnRH-A injection like Lupron to shrink the fibroids, 'buy' some time until I enter post-menopause, and possibly allow me to start HRT? Which GnRH-A is most effective for shrinking fibroids, and what major side effects should I be aware of? Additionally, I have a T-score of -1.9 and am concerned about bone loss. Will taking norethindrone 5mg help counter bone loss caused by Lupron, or is a biphosphonate like Fosomax a better option? Finally, can exercise, calcium, and vitamin D reverse osteopenia or at least stop it from getting worse?

November 12th, 2023

Clinton G. answered

Yes, you can use a GnRH-A like Lupron to shrink fibroids, which can help you avoid surgery and poten...

November 12th, 2023

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