Skip to content
Includes Expert Content
Anxious & Confused
Hi all,
I'm new to WebMD... Hoping to get some answers. I found out I was pregnant in early July 2012. Unfortunately, it was an ectopic pregnancy. I was given methotrexate to end the pregnancy. I bled up until mid august and that is also when my hcg levels went down to zero. I was not getting my period, so in November my gyno put me on Provera for 10 days to induce my period. I got my period on November 16th for 6 days, and then my husband and I began to try to conceive. My period never came this month, and pregnancy tests were all negative. I spotted for a few days, but very minimal and light brown. I went to see my gyno again, and she said to give it another week, and if my period did'nt come, to take Provera again. Does one ovulate even when the period is induced? Has anybody been in a similar situation? I wish my body and periods would be normal again. I am 31 years old and feeling like I'm running out of time. I am ready to be a mom,,,, Please help.
David K Walmer, MD, PhD responded:
Dear Anxious & Confused,
You are raising more than one issue that is worthy of discussion. First, it is important to know whether you truly had an ectopic pregnancy or was it a nonviable pregnancy of undetermined location. Years ago we used to diagnose an ectopic pregnancy by doing laparoscopy in seeing the pregnancy in the fallopian tube. Today, patients may be treated with methotrexate if we do not find the pregnancy in the uterine cavity and the hCG level does not fall. Some of these pregnancies are not ectopic pregnancies. The pregnancy might be in the uterus and we miss it with the D&C. If you have an ectopic pregnancy then you may have tubal disease and it may be important to evaluate your tubes with an HSG.
Second, it is important to understand some basic principles about ovulation (i.e. releasing eggs). If you are not having regular predictable spontaneous menstrual periods without Provera then you are probably not ovulating, at least not on a regular basis. Your ovaries make estrogen during the first half of your menstrual cycle and they make estrogen and progesterone during the second half of your menstrual cycle (after you ovulate). If you are stuck in the first half of your menstrual cycle, i.e. not ovulating, then a menstrual period can be induced by simulating the second half of your menstrual cycle. This involves giving you the hormone that your ovaries are not making (Provera). It would be helpful for you to see your gynecologist again and talk about hormonal reasons that you might not be cycling and medications that may help you begin having regular predictable cycles again. The best news is that you are only 31 years old. As fertility specialists, we can correct many fertility problems but we can't (yet) make women younger. Good luck!
MELBOOGIE replied to David K Walmer, MD, PhD's response:
Thank you for your response Dr. Walter! I will make an appointment to see my doctor again.

Featuring Experts

David Walmer, MD, PhD is a reproductive endocrinologist and infertility specialist at Atlantic Reproductive Medicine Specialists . During his 25 year...More

Helpful Tips

New Committee Opinion on Female Fertility TestingExpert
New Guidelines on Fertility Testing! American Society for Reproductive Medicine (ASRM) released a Committee Opinion on evaluation of the ... More
Was this Helpful?
9 of 9 found this helpful

Related Drug Reviews

  • Drug Name User Reviews

Report Problems With Your Medications to the FDA

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

For more information, visit the Duke Fertility Center