QuestionMy husband and I have decided to start trying again for kids. My doctor told me to take Prometrium 200mg for 10-12 days until I start if I don't get a period and then on day 3 to take 10 Femara at one time. Then for me to schedule an ultra sound for days 11-14. Will this cause me to ovulate sooner? I am a little confused by all of this. Could you please help me?
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Followup To
Question -
I am 19 years old and my husband and I have been trying to have a baby since we got married Oct. '04. My doctor found out a couple of years ago that I am insulin resistant and so she put me on Glucophage 2000mg a day. I was on that and the Nuva Ring until I decided to get pregnant. I went to my doctor in January after we had been trying on our own. The doctor lowered the amount of Glucophage to 1500mg a day and then put me on Avandia 4mg a day for two weeks and then 8mg a day for two weeks. I didn't have a period the first month,but by the second month I had one on my own. Shortly after that I noticed a rash that began to spread all over my body. My doctor took me off of the Glucophage and left me on the Avandia 8mg a day. I took that for a month and I didn't get my period on my own. The next month I went back on the Glucophage. The doctor also tried having my take Femara during certain cycle days to help me ovulate. Recently I have decided that all of the up and down with my hormones is getting to be a little much. My husband and I were having some problems so the doctor took me off of the Avandia and Metformin and gave me Provera to take for 10 days and at the end I was to start the Nuva Ring again. Well, I took the Provera and finished it about a week ago and I still haven't started my period. During the time I was on the Provera my husband and I had unprotected sex. Could I be pregnant and not realize it? Or will it take longer for the Provera to work properly?
Answer -
If you did not get your period due to a deficiency of progesterone, Provera 10mg twice a day for 5 days will usually bring on your period within 10 days. Sometimes, a second course of Provera must be taken. However, sometimes, if you do not have a thick enough endometrium, you must first "prime" the endometrium with Estrogen (for 21 days) and then take Provera, which will usually work. If you are pregnant, Provera will not induce a period. HOwever, a pregnancy test will be positive. Provera is not dangerous and we used to use it as a pregnancy test in the past. If you have any doubts, take two blood tests for pregnancy (48 hours apart). A doubling of the results in 48 hours indicates a viable pregnancy. A result less than 5 means that you are not pregnant.
AnswerThe progest eerone )Prometrium) will help if you have a deficiency of progesterone and will induce your period, if you do not get it on time. Prometrium also helps prevent miscarriage. The Femara may enhance your ability to ovulate, but will not cause you to ovulate sooner. That is still a function of your hormones.
