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no period after taking provera?
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chelsied posted:
I have PCOS, my doctor prescribed me Provera 10mg for 10 days to start having a period again. i started in july and the 11th day had a very heavy period. I repeated the cycle in august, and on the day of the last pill again a very heavy period. i am now in my 3rd month of provera, took my 3rd set, and now 4 days after my last pill no period? was just curious why it would all of a sudden stop working? any thoughts?
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Jane Harrison Hohner, RN, RNP responded:
Deal chelsied:The are a couple of explanations for your current lack of flow:

1. Generally we tell women, "Expect a flow within 72 hours of taking the last Provera pill." However, a "Provera withdrawal bleed" can take up to a week to arrive after the last pill. In this instance your flow may arrive later than it did before.

2. As you may have been told, if the uterine lining is like grass or lawn, estrogen is like the fertilizer (causes a thickening of the lining), and progesterone is like the lawnmower (keeps the lining thin by three different mechanisms). This is why DepoProvera injections (high dose synthetic progesterone) brings about a thin lining, and why birth control pills (relatively progesterone dominant) bring about shorter, lighter periods.

If your lining has been exposed to 10 mg of Provera x 10 days over the past three months, the medication may have thinned out the lining so much that there is not a lot to be shed.

What I would suggest to you is to wait until 10 days have past since the last Provera pill. If still no flow has occurred let your GYN know. Sometimes women will only have a quarter sized spot, this is still considered a "positive response" to the medication, but with such a minmal amount you should still let your GYN know.

Yours,
Jane
 
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chelsied replied to Jane Harrison Hohner, RN, RNP's response:
Thank you so much, I finally got my period on day 8. Your advice is so help, very much appriciated
 
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Jane Harrison Hohner, RN, RNP replied to chelsied's response:
Cool; so glad that you did get a flow!
J
 
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Jolanephil replied to Jane Harrison Hohner, RN, RNP's response:
Dr. Jane Hohner

I took provera to make me stop heavy bleeding then took it to start period now....after a normal period for three months ...I'm back with no period. Going on three month.....I only have one tube and my Dr. Told me it woluld be very hard to get pregnant because the tube I have lefted has a hook to the end. I'm 46 year old... Went to Dr. And they told me my level wasn't high enough to be in premenopausal. Can you tell me what might be going on?
 
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Jane Harrison Hohner, RN, RNP replied to Jolanephil's response:
Dear Jolanephil: Yes, it does sound crazy--Provera is used to kick start a flow AND it is used to try and make a prolonged flow stop! Both techniques will work because of the effect the synthetic progesterone has on the lining of the uterus.

1. Used to start a flow--after several months of missed ovulations you already have a built up lining in your uterus. Normally an ovulation will trigger progesterone production which stabilizes the lining (waiting for a conception to occur). When pregnancy does not happen, the progesterone blood level falls, triggering the lining to shed (a period).

No ovulations are the most common cause of missed periods. There can be MANY causes for not ovulating:low thyroid, pituitary problems, ovarian cysts, physical stressors (eg sudden increases in exercise, crash dieting), emotional stressors (problems with boyfriends/girlfriends, finances), increased body weight, anorexia, rotating shifts at work, etc. Just being 46 and approaching perimenopause will produce fewer ovulations, too.

2. Used to stop flow--remember that in nature, progesterone stabilizes the lining after estrogen makes the lining grow thick. If one gets a built up lining over several months, it can begin to shed spontaneously under it own weight. These bleeds are often prolonged and very heavy. In this instance Provera pills work to consolidate and stabilize the lining. The prolonged bleeding should stop until after the last pill is taken. Then one usually has an orderly bleed which stops within a normal time frame.

So, my best GUESS is that you are having intervals of missed ovulations. If you cannot identify a cause from the list above then the most likely explanation would be your age. The average age for last period is about 50.5 years. The average perimenopause is 4 years before last period--although the range can be anywhere from 0-10 years. It is very difficult to diagnose perimenopause because FSH and LH blood levels bounce around in our late 40's.

My advice would be to follow your GYN's directions about how to control the symptoms of the abnormal bleeding. If you can identify a cause (eg low thyroid, abrupt weight gain, etc) it can be treated. This transition is difficult for both woman and their GYNs.

In Support,
Jane
 
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sweety83 replied to Jane Harrison Hohner, RN, RNP's response:
I was on the Provera pill for 10days to stop a heavy period that I had for a month. I am concerned because it has been three months now since taking the pill and no period! Could I be pregnant or could it be something else?
 
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Jane Harrison Hohner, RN, RNP replied to sweety83's response:
Dear sweety: If you are having unprotected sex then pregnancy should always be ruled out. However, if your pregnancy test is negative (which I would hope and expect) then the reason for your current missing flow may be as follows.

You used the ten days of Provera to stop a month long, heavy flow. As you have read above (in the other posts), Provera can be used to stop a prolonged flow as most long, heavy flows are caused by missed ovulations. No ovulations means no progesterone produced by the ovaries.

Your flow stopped after the Provera pills; then you have not had one since. You are not currently using any birth control pills---hope i am tracking you correctly. If all this is correct, your current lack of flows probably reflects more missed ovulations.

In a normal cycle, estrogen is produced all month. Estrogen is responsible for building up the lining of your uterus so you have something to shed each month. The good news is that you have enough estrogen to make a lining that does shed sometimes.

In a normal cycle, progesterone production increases following ovulation and release of an egg.. Progesterone "stabilizes" the uterine lining in preparation for a possible implantation of a new pregnancy. If you are not pregnant that month the levels of estrogen and progesterone fall, triggering the release of the uterine lining—your period.

So, if you do not ovulate, the estrogen build up of the lining continues, but without the usual ovulation associated progesterone. Thus, the hormone levels don't decline, and the lining stays up inside the uterus—your missed period. Alternatively, the built up lining can begin to shed on its own creating erratic bleeding patterns which are usually "too-light" or super heavy and prolonged.

Causes for not ovulating are MANY:low thyroid, pituitary problems, ovarian cysts, physical stressors (eg sudden increases in exercise, crash dieting), emotional stressors (problems with partner, kids, finances), increased body weight, anorexia, rotating shifts at work, etc.

In your specific case sweety, since this seems to be a continued concern, you should return to the GYN or clinic. You can ask specifically about missed ovulations and see if they believe that is the culprit. If so perhaps the root cause can be identified and treated instead of just treating the symptoms.

In Support,
Jane
 
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Child_OfGod1 replied to Jane Harrison Hohner, RN, RNP's response:
Hey, I began taken povera June 13,2013 to regulate my period because I had period that stayed on for a while so my dr perscribied me povera 10mg for 10days he said it would get my period back to normal. I normally had regular periods before up until the month I had the very long period. But I took my last pill June 23 it is now July 28, 2013 and still no period I spotted a little two days ago but that was only when I wiped I've been waiting for a flow to start but still nothing I've been having abdominal pain and sore. Breast the usual signs I have before a period but still nothing. Ive had diffculties concieving so thats why its hard to think pregnancy but Could I be pregnant?
 
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godisgud replied to Jane Harrison Hohner, RN, RNP's response:
jane, can u help me answer this question. I was having abnormal cycle, like 2month interval so the doctor asked me to take provera 10mg for 7days that it wil force the period to come, but after 4days of my last pill stil no flow, wat meant be the cause?
 
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atti_editor replied to godisgud's response:
Hi godisgud,

You may want to create a new discussion post with your question to make it clear that you have a separate question from this thread and to make it easier for Dr. Harrison Hohner to see your question. You might also put "Attention Dr." in your headline. You can create a new discussion by clicking on the orange "Post Now" button at the top of this page and entering all of the same information you typed above.

Best wishes,
Atti
 
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joann670019 responded:
I m 51 live in Ky,My period has prolonged. I'm into my 5th week and taken lots of iron and plenty of foods with iron.I'm taken Medroxyprogesterone10mg for 10 days,got 3 more days left and my period still hasn't stopped.This is driving me insane.Whats going on with this?Why want my period stop?This happen to me 2 yrs ago and was a nightmare,it lasted right at 2 months and I was going to have the Eblasion out patient surgery and I chickened out.I don't like being put to sleep,It finally stopped.So what now?I'm also sick with signs of Vertigo for 2 months till I can get in to see the ENT Specialist on the 23rd of this month,motion sickness and dizziness due to fluid in both ears that have to be drained,Normally I'm a healthy person and have to work for a living.Over the last 2 months it's almost impossible to work.6/10/14
 
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latrese09 replied to Jane Harrison Hohner, RN, RNP's response:
Hey I was put on progesterone to stop my period I start taking it a week ago and it still has made it stop do ou know if it works to stop your period


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