PREGNANCY-BIRTH Messages for August, 2000: Re: ? ABOUT TESTS (could a doctor respond?)

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Re: ? ABOUT TESTS (could a doctor respond?)

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 3 Aug 2000 21:37:28 -0500 (CDT)

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At Thu, 3 Aug 2000, Crista wrote: >
>I am trying to get pregnant and it has been 83 days since my last
>period. I took Provera for 5 days and it has been 12 days since I
>finished them.
>
>My doctor now whats to do a Serum Beta HCG and a Serum Prolactin. Is it
>normal that these would be the only things he would want to look at. Is
>increased prolactin really that much of a problem, couldn't there be
>other reasons my period hasn't come.
>
>Also, If for some reason I am pregnant would the Provera have hurt my
>child? I'm not having any pregnancy symptoms but I guess he just wants
>to rule that out. Can someone help me?
>
>Thank You
>
>--
>Crista
>
>--
>Crista
>

The usual evaluation for a person who is amenorrrheic consists of first a pregnancy test. If no pregnancy, then draw a Prolactin and a TSH(Thyroid test) and give 5 days worth of provera. If the TSH and Prolactin are abnormal and there is withdrawal bleeding usually in 7 days after the last provera pill; the state of anovulation exists. The treatment for this si usually clomid if pregnancy desired and OCP's if pregnancy not desired.

There has been a question about whether or not Provera in early pregnancy causes a certain rare disorder to happen in 2 out of 10 million pregnancies instead of one out of 10 million pregnancies. There is argument about this.

RDB

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

Next message: R. Daniel Braun, MD: "Re: Blood test- burst veins"
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