Missed Period After Lupron: What to Do?

Question
hello I was wondering if I could be pregnant.  I was scheduled to take the Lupron shot for 6 months starting in March.  I took the shot in March and got a menstrual in April and took the second shot in April and got no menstrual in May.  When May came I didn't get my shot b/c the pharmacy forgot to mail it to my doctors so I just skipped the shot and haven't been back to get the shot.  It is not the end of July and I have not gotten my menstrual.  At the beginning of July I had light cramping and some brownish spotting for a day and then it stopped. I have some cramping the last 2 days but nothing yet. I have symptoms of pregnancy my breast hurt and have gotten bigger my areola is larger and darker and I have been tired and have had nausea. The last time I did 6 months of Lupron I took my last shot in July and my menstrual came back in September. My doctor said my menstrual should be back by now.  Do you think I can be pregnant even though home preg test said negative and so did blood test a month ago and I'm still sexual active?

Answer
Hello,

I would still repeat the blood pregnancy test because you could have gotten pregnant in the interim.  I presume that you were taking the monthly Lupron 3.75 mg.  This would not last more than 2 months therefore, you would be able to become pregnant if you did not use any birth control method.

Sincerely,

Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.