I have vaginal endometriosis and fibroids. Came off Seasonique because blood pressure was too high. Doctor plans on D&C, laser ablation & hysteroscopy, followed by Lupron injection. Dr. will do test to see if I am nearing menopause. Currently have hot flashes and night sweats. Not too many symptoms of endometriosis except heavy menses with clots for 3 of the 8 days. Currently no bleeding issues and dr is extremely surprised I am not bleeding all the time. I believe I am perimenopausal at this stage (age 50) with no cancer worries. I opted for D&C as opposed to hysterectomy. Had same procedures in 2004 which lasted until this year. What are your thoughts about Lupron or should I just see how it goes after the surgery and not get the injection.