Hi. I'm Aliza, a BC patient and the site's unofficial Medical Librarian. Med Librarians offer advice (usually non-medical [kind of against our code of ethics to offer med advice [it's also a bit illegal as it's practicing medicine sans license]) But we do offer referrals to doctors, hospitals/institutions, agencies, etc. and research when required/requested. Since I went on in my professional capacity I follow these rules for the most part-I felt I could ultimately be more helpful this way. But I am permitted to speak from my own experience and from those of family and close friends.
I read your post and understand your dilemma. Librarians look at questions a bit differently than others as well because of our training. I believe that ovaries can be removed vaginally these days causing less down time as opposed to abdominally, which is a lot of down time.
I'm uncertain as to where in Mass you're coming from to head to Boston but can appreciate that it's a long commute as it takes me about an hour to get from where I live to Memorial Sloan Kettering Cancer Center where I'm treated in NYC. But to keep things in perspective, it's only once a month,. The next question I'm going t pose to you is rhetorical - how long do you have to make these trips down to Boston for the Lupron shots to take effect to shut down your ovaries completely? Is it only 3-4 times or will it be a yea or more? Could you combine coming down for the Lupron shot with another fun activity you enjoy in Boston? Lunch or dinner at a favorite restaurant? Can you bring a friend and go shopping at Filenes? o you enjoy browsing around Cambridge? You get where I'm going with this?...Reward yourself (don't max out your credit cards) with something nice for doing this.
When I go to Sloan, my fiancé accompanies me and we usually go out to eat afterwards. I often havea coupon from livingsocialdotcom or bloomspotdotcom. I believe they're available for Boston, so that's something you might be interested in. They have discounts on restaurants, spas, mani-pedis, hairstylists, weekend trips and more. Sorry I had to write the URLs like this-they'll remove them if I don't.
You can also put some favorite music on in the car when you travel down whether you have Sirius radio, an MP3 player, a CD player or the radio on a favorite station.
Re your other option - surgery, I can understand why you'd consider that. I really can Long before the days of cancer, at the age of 40, I had my tubes tied. It was one of the best decisions I'd made. They did it with laparascopic surgery. I felt no pain afterwards. It was a very easy recovery for me.
I cannot advise you as to what to do. I can only lay out the different options perhaps in ways that you hadn't considered before. I don't think there are any "wrong" choices here. Only what will make you feel most comfortable. This is the time to get the piece of paper and list on one side Pros and on the other Cons and start your list..
I wish you the best of luck in whatever decision you make and I hope I've helped lay things out for you in a way that might make things a little more clear to you.