PCOS Messages for November, 2001: Re: Appointment at womens hospital update and advice request: doctors and posters.

Re: Appointment at womens hospital update and advice request: doctors and posters.

From: Belle (anonymous@obgyn.net)
Fri, 30 Nov 2001 20:59:43 -0600 (CST)

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In reply to: Emma: "Appointment at womens hospital update and advice request: doctors and posters."

Usually, Provera is prescribed for x days per month. It is not common for it to be prescribed to be taken twice during the month. Usually it would be the first 10 or 12 days of the month, then off for the rest of the mont h, first x days of the month again.

1) Each of us react differently to drugs. Our reactions are dependant of so many different things that it is impossible to determine if you will react badly or not. For me, it did nothing even at 10 mg for 12 days so I am on Prometrium now but for my neighbor 5 mg for 10 days was wonderful.

2) Provera is a synthetic progestin and does not help you ovulate. In your cycle, you should ovulate, have an increase in progesterone, your uterine lining builds up and prepares for a baby, then if you do not have a fertilized egg implant, the progesterone drops and this signals your body to have a period. Provera will (hopefully) induce a period.

3) Provera in the first 4 months of pregnancy has been known to cause birth defects. You should not try to get pregnant while taking progestins and if you should become pregnant your doctor should be notified immediately.

4) 14 days is a little long for Provera but not unheard of.

5) LH and FSH are hormones LH is lutenizing hormone and FSH is follicle stimulating hormone. Frequently when LH and FSH are tested estrogen and progesterone are tested as well. It is part of a routine female work-up. Is it possible that you had them tested at the same time? If so that would be what she is talking about but the fact that you are not having regular periods is a good indicator that you are low in progesterone. The thin lining is the clincher. If your progesterone is low, you will not build the appropriate lining for the fertilized egg to implant in.

The met has been shown to encourage ovulation in women. This usually occurs in the first 4 month of treatment.

At Fri, 30 Nov 2001, Emma wrote: >She didnt give me an ultrasound, or order any blood work. Anyway, she
>went off for about 20 minutes to talk to the doctor. He prescribed 10mg
>of Provera per day, for 14 days. Then to go 14 days off it, then 14
>days on, and so on.
>
>First and foremost, is Provera a good thing to take? I have read alot of
>conflicting stories. Some women say it has totally screwed them up, and
>they wish they had never taken it.
>
>2. Does Provera force you to ovulate, or does it just give you a period?
>
>3. Would it be possible for me to get pregnant on Provera?
>
>4. If I do decide to go ahead and take it, taking it for 14 days seems
>a little long. Most women are on it for 5-10 days it seems.
>
>5. She said that I am producing alot of estrogen, but no progesterone.
>I know Provera is a progesterone. How can she tell this? Is it
>evidenced from my LH and FSH levels? (Which were both 4 last month) Is
>that why I dont ovulate or bleed?
>
>On another issue: Last month I was told I had a very thin endometrium
>when I had an ultrasound. What does this mean? I would have thought
>that since I rarely bleed it would be very thick and builtup. What does
>it mean that it isn't?
>
>Currently I am taking 100mg of Spironolactone and 1500mg of Metformin. I
>have been on Met for 3 weeks. I have felt no different in any way. I
>havet even felt any nausea, which I was expecting from what alot of the
>other girls write!!! What should I expect from Met?
>
>So, I guess the main question is, Should I take the Provera?
>
>Thanks for any advice any of you might have.
>
>Take care everyone,
>Emma

-- Hope this helps,

Belle

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In reply to: Emma: "Appointment at womens hospital update and advice request: doctors and posters."

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