WOMENS-HEALTH Messages for August, 1997: Re: IS there a right answer?? (Maybe Dr. Shanahan?)

Re: IS there a right answer?? (Maybe Dr. Shanahan?)

From: Kelly (anonymous@obgyn.net)
Fri, 29 Aug 1997 21:35:51 -0500 (CDT)

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In reply to: D. Ashley Hill, M.D.: "Re: IS there a right answer?? (Maybe Dr. Shanahan?)"

At Fri, 29 Aug 1997, D. Ashley Hill, M.D. wrote: >
>At Fri, 29 Aug 1997, Kelly wrote:
>>
>>Help! I am getting conflicting (and confusing) info:
>>
>>Took last Depo shot in Jan. Have not started cycle.
>>Am experiencing extreme breast soreness. Was told may be because of
>>"being out of" progesterone? Is this what is also preventing cycle?
>
>I haven't heard of this before, especially with Depo-Provera.
>Depo-provera actually *increases* the amount of progesterone in your
>body, and that's what commonly causes the periods to stop while taking
>this medication.
>

Kelly

I must agree, as I usually do, with Dr Hill. Depo Provera is "depo medroxyPROGESTERONE acetate", so it does increase progesterone. As Dr Hill said, progesterone causes the uterine lining to thin down, so you often don't bleed.

If you can be patient (believe me, I know how hard *that* can be ;-) ), your periods will probably start on their own once your own estrogen causes the uterine lining to thicken up a bit. If you really, really want to have a period, I'd give you estrogen, just like Dr Hill. A progesterone shot would not be the thing to do when you still have extra progesterone in your system from the Depo Provera.

Good luck

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

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In reply to: D. Ashley Hill, M.D.: "Re: IS there a right answer?? (Maybe Dr. Shanahan?)"

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