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

From: Crista (anonymous@obgyn.net)
Fri, 4 Aug 2000 06:54:17 -0500 (CDT)


Thank you so much for responding. I feel much better now!

At Thu, 3 Aug 2000, R. Daniel Braun, MD wrote: >
>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.
>

--
Crista



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