Provera: Addressing Irregular Menstrual Cycles and Bleeding Issues

Provera Tablets

Hello Dr.
Huang, I apologize for coming to you again with my questions.
My menstrual cycle is approximately 39 days.
My last normal period started on July 14.
After that, my period was delayed by seven days, so I visited the clinic and took medication to induce menstruation.
My period then started as expected on September 8.
After the bleeding stopped on September 14, I noticed slight bleeding on September 19.
I went to the hospital for a check-up on September 25, and during that time, the bleeding gradually decreased.
The doctor prescribed me Provera (medroxyprogesterone), but only mentioned that the bleeding would decrease after taking the medication and did not explain why this was happening, stating only that it was to help repair my endometrium.
I took the Provera for a total of 10 days, and the doctor did not mention whether I should return for a follow-up.
I would like to ask Dr.
Huang a few questions: 1.
What could be the cause of the bleeding? 2.
Is Provera an inducing medication? Should I schedule a follow-up appointment? 3.
Is this situation likely caused by hormonal imbalance, and should I have blood tests done?

sandy, 20~29 year old female. Ask Date: 2017/10/11

Dr. Huang Jianzhong reply Obstetrics and Gynecology

The menstrual cycle is approximately 39 days.
The last normal period was on July 14.
After a delay of seven days, I visited a clinic and took medication to induce menstruation, which then arrived as expected on September 8.
After the bleeding stopped on September 14, I noticed slight bleeding on September 19.
I went to the hospital for a check-up on September 25, during which the bleeding gradually decreased.
The doctor prescribed Provera (medroxyprogesterone) and mentioned that the bleeding would reduce after taking the medication but did not explain why this was happening, only stating it was to help repair my endometrium.
I took the Provera for a total of 10 days, and the doctor did not mention whether I should return for a follow-up.
I would like to ask Dr.
Huang a few questions: 1.
What could be the cause of the bleeding? 2.
Is Provera an inducing medication? Should I schedule a follow-up appointment? 3.
Could this situation be caused by hormonal imbalance, and should I have blood tests done? Answer: Your attending physician should address these questions.

Reply Date: 2017/10/11

More Info

Dear Patient,
Thank you for your inquiry regarding your menstrual cycle and the use of Provera (medroxyprogesterone acetate). I understand that you have been experiencing irregular menstrual cycles, and I will address your questions in detail.

1. What is causing the bleeding?
Irregular bleeding can be attributed to various factors, including hormonal imbalances, stress, changes in weight, or underlying medical conditions. In your case, since you mentioned a history of delayed menstruation and subsequent light bleeding, it is possible that your body is adjusting to hormonal fluctuations. The use of Provera is intended to help regulate your menstrual cycle and stabilize the endometrial lining, which may have been disrupted. If the bleeding persists or worsens, it is essential to consult your healthcare provider for further evaluation.

2. Is Provera a medication to induce menstruation? Should I return for a follow-up?
Provera is indeed used to treat irregular menstrual cycles and can help induce a period in women who have not had one for a while. It works by mimicking the effects of progesterone, a hormone that plays a crucial role in regulating the menstrual cycle. After completing the 10-day course of Provera, it is advisable to follow up with your doctor, especially if you continue to experience abnormal bleeding or if your menstrual cycle does not normalize. Your doctor may want to monitor your response to the medication and adjust your treatment plan as necessary.

3. Could this situation be caused by hormonal imbalance, and should I have blood tests?
Yes, irregular menstrual cycles and abnormal bleeding can often be linked to hormonal imbalances. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other endocrine issues can contribute to these symptoms. A blood test to check hormone levels, including estrogen, progesterone, and thyroid hormones, can provide valuable insights into your condition. If your doctor suspects a hormonal imbalance, they may recommend these tests to help determine the underlying cause of your symptoms.

In summary, while Provera can help regulate your menstrual cycle and address bleeding issues, it is crucial to maintain open communication with your healthcare provider. If you have concerns about your symptoms or the effectiveness of the treatment, do not hesitate to reach out for further evaluation. Regular follow-ups are essential to ensure that your reproductive health is managed effectively.

Please take care, and I hope this information helps clarify your situation. If you have any more questions or concerns, feel free to ask.

Best regards.

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