I tried to obtain authorization for Lupron-Depot therapy, but was denied with the excuse that I had not exhausted other treatment modalities such as Danazol. Do they really expect me to put this vulnerable patient, who is already both physically and mentally devastated by her endometriosis, on this horrendous medication? Both the patient and her mother are now literally begging me to do a hysterectomy and bilateral salpingoophorectomy on this 18-year old to relieve her of the torture she goes through on a monthly basis.