Women's Health Community

Dear ally_o: Thanks for waiting for a reply. The lack of a "period" after taking 10 days of Provera can mean a number of things. First that you are not making enough estrogen to "grow" a lining to shed. This can be caused by premature menopause (early ovarian insufficiency) or very high levels of male hormones (androgens). Second, in some cases the consistent use of Provera for many days/month can create a thin lining so there isn't much to shed. Yet this usually takes more than just 10 days per month. Thirdly, if the cervical canal has become scarred closed the flow just has no way to get out. This condition is fortunately rare.You definitely need to contact the GYN that wrote your Provera prescription and let them know that you have not been having bleeds. They can do additional testing to see if the cause can be clarified.

Endometriosis is a bad player when it comes to trying to conceive. It can create filmy bands of scar tissue (adhesions) which can web pelvic organs together. Endometriosis also creates inflammation within the pelvis. All of this can yiled pelvic pain. However, endometriosis should not stop your period or alter ovarian hormones.

Given your history of irregular periods and possible PCOS you likely have erratic and/or infrequent ovulations. This too can complicate trying to conceive. You might eventually be tried on an ovulation induction medication (eg Clomid).

You mentioned being in the military. If you are on active duty away from medical care, ask a trusted person to contact your GYN so they can be informed of your current concerns. That way you can at least get some answers from the person who has been doing your evaluations.

In Support,
Jane

Ma'am,

Thank you for the response, I have been taking clomid the last six months. They have me come in on day 23 of each month and i did not ovulate all but one month. I am going to contact my doctor but wanted to see if anyone could shed some more light on the subject. The pain is to the point of almost being unbearable. They have tested my thyroid as well but haven't heard anything yet.

Thank you for your response.

Dear ally_o: As you may have read, women with PCOS can be less responsive to Clomid.If you are being seen monthly I am sure that they are monitoring your ovaries for enlarging/increasing/persisting cysts. PLEASE let them know about the pain, so other sources of constant pelvic pain can be assessed. Endometriosis may be a culprit.

Low thyroid (hypothyroid) can certainly interfere with ovulations. Yet it is not often linked to pelvic pain.

We are glad that you had at least one ovulation in response to the Clomid. Sometimes the dose will be increased, or if there is insulin resistance of PCOS the drug metformin may be added.

In Support,
Jane