Tried on a size 7...

It's been a week since my epidural shot and it has done absolutly NOTHING, in fact, my pain is worse!  I don't think that the epidural has anything to do with that, it may be from the Lupron starting the leave my body.  I talked with my PD's RN today about how this isn't working and she kind of "scoffed" and asked, "Not even a little bit?"  That put me off.  I realize that once I received the shot it seemed like I felt better but there was alot of adrenaline pumping through my body and that can most certainly kill pain for a short period of time.  I now have moved up a couple of notches in pain level and it is right when I get up in the morning and through the restless night of sleep.  I have now started taking pain Rx before I go to bed!  I have a follow up appoinment with my PD's partner on 12/01, I'm hoping he can do something for me.  My GP told me I may need to make a hard decision about a hysterectomy.  THERE IS NO WAY IN HELL I AM JUMPING INTO THAT!!!  I know in my heart there is something else going on here, I just need to find out what it is!! To top it all off, I went shopping for a pair of jeans that I desperatly need. ( Since I lost so much weight with out trying )  I thought for sure I only went down to a size 9, but to my surprise, I need at least a size 7!!!  I haven't needed a size 7 since I was in my EARLY 20s maybe even my teens!  I almost lost it in the fitting room!  And size 7 is ALMOST TOO BIG!!  I thought the Lupron was making me loose my appetite, now I think it's the anti-depressant!  I just need to keep up before I spiral out of control!  I've started with the meal replacement shakes again and when I do eat ( every night ) I make it a high calorie meal.  It's hard to eat healthy this way, I don't know how.  I eat ALOT of peanut butter!