WOMENS-HEALTH Messages for May, 1998: Re: Anything besides using Provera for irregular periods?

Re: Anything besides using Provera for irregular periods?

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sun, 10 May 1998 14:49:26 -0500 (CDT)

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In reply to: Jas: "Anything besides using Provera for irregular periods?"

At Sat, 9 May 1998, Jas wrote: >
>Hi I searched the archives and now I'm confused. I'm ovulating OK
>according to temp charts but have irregular spotting approx 4 days
>before I get my period (luteal phase is about 11 days). Doctor wants to
>do an endometrial biopsy. Depending on how that turns out he said he
>may put me on provera to regulate my period. My first question
>is....... Are there intermediate steps I could take to check out the
>spotting problem without quickly jumping to the biopsy?

You could have a serum progesterone level drawn about 7 days post ovulation, but the biopsy is more accurate in diagnosis luteal phase defect.

Can't provera >stop spontaneous ovulation and make it even more difficult to get
>pregnant?

High dose prover, like DepoProvera is used as a contraceptive, but lower dose oral provera is not contraceptive; however, even given that, I do not use synthetic progestins in women who are trying to get pregnant. A better choice, in my opinion, would be to use natural progesterone from the evening of ovulation on. The only draw back is that it may delay the onset of your period if you are not pregnant.

I'm afraid that provera will really mess me up, is there >another drug that is prefered if I'm trying to conceive?

see above. The new progesterone cream that is inserted vaginally (and the only form of natural progesterone that is FDA approved) is called Crinone. The 4% Crinone can be used for cycle regulation and PMS and the 8% is used for progesterone supplemnetation in pregnancy.

Really bugged >about this provera stuff just don't want it if it will make getting
>pregnant that much harder. Any doctors tried something else for this
>type of problem. Thanks :)

If you are really uncomforatable with anything, don't do it. You may want to discuss natural progesterone with your doc,and if he is reistant and you are uncomfortable, think about having a consultation with a RE.

--
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.
Sorry, but private e-mails will not be answered.

Next message: Kelly Shanahan, MD: "Re: Ovarian Rmemant Syndrome"
Previous message: Kelly Shanahan, MD: "Re: Spotting :("
In reply to: Jas: "Anything besides using Provera for irregular periods?"

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