Hi Stephanie
I'm a Stephanie too.
I have stage 4 endo and was put on Lupron in 1997 after my first surgery. I was very wary about starting the drug because, like you, I'd read up on its potential side effects but my pain and bleeding was so bad that my doctor convinced me to go on it.
For me, the 'good' was that Lupron stopped my bleeding and most of my pain.
The 'bad' was the hot flashes, which weren't too horrible, really, just mostly annoying. I also got night sweats, which were much worse for me and I developed rather bad insomnia/sleep disturbances.
I also did have bone loss from having taken Lupron. Has your doctor discussed estrogen add-back therapy with you in conjuction with taking Lupron? Some doctors are against that idea, others believe it to be helpful. Add-back estrogen would help with hot flashes and lessen the possibility of - or at least the extent of - bone loss from the Lupron. I myself did not take add-back because, back then, I couldn't understand the logic of taking estrogen when I was taking a medication to LESSEN the estrogen in my body. However, in retrospect I wish I did take the add-back therapy because I have osteoporosis now and, though it isn't yet causing me any troubles (I'm 38, btw) I do worry about the future in regards to my bones.
I ended up being on Lupron for a total of 14 months. I had read about the 6 mos. limit of being on Lupron and mentioned that to my doctor at the time, and she claimed she'd had patients who'd been on the drug for years and would continue on it for years. I see a different gyn now and I am unsure of how good of a doctor my first doctor was in terms of dealing w/endo so I don't know if being on Lupron indefinitely really is a more common situation or not. Doc #1 also said if one takes a break from Lupron every 6 mos, one could then go back on it for another 6 mos. round with no problem. I am unclear about that assertion as well, but I mention it now so that it's one more bit of info to discuss w/your own doctor so you can make the most informed decision possible.
All in all, while Lupron gave me quite a bit of relief from my major endo symptoms, due to the bone loss I suffered I wish in retrospect I did not stay on it for as long as I did. Lupron isn't a 'cure' for endo and really, imo, it's a treatment option best suited for women who wish to preserve their fertility for awhile longer in hopes of becoming pregnant in the not-to-distant future. In my case, it was clear from my first surgery that, due to the extent of the endo, pregnancy would be a very, VERY slim chance for me, but I wasn't as informed back then as I am now and my doctor at the time convinced me Lupron was the most appropriate treatment for me, even though preserving my fertility was kind of a moot issue so...
I'm not pro or anti Lupron, as I think in many instances it's a great option for endo sufferers, especially those who want to try to get pregnant within the next year or so after diagnosis. But it is a potent drug and it makes me sad when I hear about women who weren't told everything about it prior to agreeing to go on it.
Good luck to you in whatever choice you make. I hope you find relief. I know what you're going through. If I can ever help answer any other questions or anything, please message me.