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Re: Provera w/only light spotting - Dr Sam?
From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Sat, 14 Jul 2001 10:11:25 +0200
Hi Bubba,
Your LH is slightly elevated (borederline) other are OK. Estradiol and prolactin should be added.
Sam
> Hi Dr. Sam,
>
> To answer your question, my goals are all of the above (weight loss,
> regular bleeding, pg). I'm currently on Metformin 500 mg, 2x/day, with
> a goal of increasing to 1500 mg. Have been on it for one month. I
> haven't really noticed anything improving, except for my mood. I did
> have my hormones checked - LH 13.1, FSH 5.9, TSH 4.12. Insulin 4,
> Glucose 85. They were checked before my first prescription of provera -
> about 75 days after my last cycle started. Are there any other levels I
> should have checked/rechecked?
>
> Thanks so much for your great advice, Dr. Sam - it's wonderful to be
> able to get a "second opinion" so easily...
>
> Bubba
>
> At Fri, 13 Jul 2001, =?iso-8859-2?q?Zalányi wrote:
> >
> > Hi Bubba,
> >
> >Provera is a synthetic progestin i.e a close relative of the natural
> >progesterone (P). P is produced by the corpus luteum during the 14 days
> >after ovulation. If you dont ovulate, no progesterone and no bleeding.
> >Therefore Provera is often prescibed to induce a bleed, but it works only if
> >you have enough estradiol produced by your ovaries. If not, no bleeding or
> >very slight bleeding will follow.
> >Advices: have your hormones checked. Provea is better to be taken for 10-14
> >days to mimic the natural course of events.
> >Question: what do you aim for? (Weight loss, regular bleeding, pg)
> >Looking forward to your answer
> >
> >Sam
> >
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