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Provera?? Really?

buggirl72buggirl72 member
in TTC After a Loss
I went and saw the OB today about the weird cycles that I have been having. I've had 4 cycles since June 9th with the longest cycle being 17 days and each one having a week or more of bleeding. I think the doctor summed it up best when he said "that does not sound like fun."

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Which I think he should serve to his patients because he definitely made me want to go get a drink.

So, he tells me that he does not think I'm ovulating and that, because I'm not ovulating, that my body is not producing progesterone - which is why I'm having all of the crazy short cycles. He then told me he had two treatment options 1) do biopsy of my uterine lining today and put me on provera, or 2) put me on provera and have me come back in 8 weeks to do the biopsy.
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Okay. Let's see. You want me to take provera to jump start a cycle while I'm currently on a cycle? In the hopes that this will make me have regular cycles?
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He then says he wants to do option 2 (why did you tell me about 1) without any explanation of why. I asked what the biopsy of my lining was for - he said to check for pre-cancerous cells.
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I've had more hormone fertility treatment cycles than I have fingers (and I have all ten) and fall into an increased risk factor which I'm now displaying symptoms for that risk. When I told him, I think maybe we should go with #1 instead of waiting, especially since I'm sitting here right now, he tells me "well, that is the gold standard of treatment" and walks out of the room to get the nurse.

And the "gold standard" is supposed to make me think this is something that should not be done? Still confused.
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He is the doctor and I want to trust him, but . . . this is also the doctor that told me to pray and take prenatals. I know take a regular multi-vitamin and supplement with extra folic acid.
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So, he did the biopsy and scheduled me for an u/s in two weeks. I'm to take provera for ten days.  And then expect my period again a few days later (which makes perfect sense since I went in for having periods every two weeks and we are now going to medically induce a period to start in two weeks . . . ). 

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I said as much to the doctor. He did not appreciate my sarcasm as evidenced by his offer to give me a 3 week RX for provera. I said no.

So, for the ladies who have taken provera - what time do you recommend? I can't decide if I should start it tonight and take it after dinner or wait until the morning.





The day the Bump died - Jasper is wise
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Re: Provera?? Really?

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    MyFirstRaspberryMyFirstRaspberry member
    you already know how nonsensical your OB sounds. I can't figure out what the OB is trying to do here.

    Anywho... to answer your question,  in the past I have taken provera at night before bed.

    * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

    TTC #1 since June 2012
    Current Status:  IVF with ICSI and PGS
    Genetic, RPL, SA and Fertility testing = Normal/Good        HSG = All Clear
    BFP #1 12.30.2012  ||  Blighted Ovum 02.05.2013  ||  D&C 02.11.2013
    BFP #2 09.10.2013  ||  c/p 09.12.2013
    BFP #3 12.1.2013  ||  mm/c  01.15.14  ||  D&C 01.21.14  chromosome abnormality
    May 2014:  Residual HCG and retained tissue found
    05.13.2014:  Hysteroscopy D&C to find and remove retained tissue
    June 2014:  Tissue sample results indicate a partial molar pregnancy
    May - Aug 2014:   TTA for monitoring and testing
    08.21.2014:  Hysteroscopy to remove minor scar tissue - the result of 3 D&Cs
    Sept/Oct: IUI #1  Femara + Bravelle + Ovidrel = BFN
    Oct/Nov: IUI #2  Femara + Ovidrel = BFN
    Nov/Dec: IUI #3  Femara + Bravelle + Ovidrel = BFN

    My Ovulation Chart  || *~*~All AL Welcome~*~* ||  DIY Blog

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    image image 

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    BethKate2BethKate2 member
    snegde said:
    Wtf. I am starting to question whether we can really trust doctors to have our best interest in mind. The whole process is exhausting. And full of second guessing. I am sorry. I love you. I also apologize for not asking sooner. I knew you had this appointment today. My head was in my ass.

    It's scary, isn't it? The amount of stories I've heard about stupid doctors (including my own OB) is crazy.

    I'm sorry, bugg. I have no experience with provera, but good for you for speaking up and questioning him.


     

    TTC since July 2012 
    BFP 5/22/13. Lap. to remove ectopic and dx with endo. 6/16/13

    RE consult: June 2014

    DX: FVL, endo, hypothyroidism, blocked left tube

    Oct. 2014: First treatment cycle: Clomid+trigger+IUI=BFN

    November 2014: Clomid+trigger+IUI again=BFP!

    BFP 11/28/14 MC discovered 1/14/15

    Blogging to stay sane

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    buggirl72buggirl72 member
    snegde said:
    Wtf. I am starting to question whether we can really trust doctors to have our best interest in mind. The whole process is exhausting. And full of second guessing. I am sorry. I love you. I also apologize for not asking sooner. I knew you had this appointment today. My head was in my ass.
    Whatever! No apologies needed! I love you sweetie and I don't think you head was anywhere near your ass.

    The day the Bump died - Jasper is wise
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    buggirl72buggirl72 member
    @LizBlue - yes, another doctor is on the agenda but I did not think I would need to find one this quickly after his wonderful advice in April. Ugh. I only went back to him when I realized that I would have called my old OB after the start of cycle #3. Right now, he has some knowledge of my medical history but I definitely do not trust him.

    @MyFirstRaspberry - night makes sense and that was what I was leaning towards. At least the provera insert does say that it is used for cases like mine so I know he is not 100% in left field on this.

    The day the Bump died - Jasper is wise
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    MSU_Girl1202MSU_Girl1202 member
    Wow, I am completely confused...
    image

    I'm not sure I understand your RE's reasoning at all. Maybe this is from my lack of knowledge about Provera, but I thought it was supposed to bring on your period...
    Anyways, from my experience taking it (to start a period), I just always took it at night.
    I'm so glad you pushed for the biopsy though...even if it doesn't show anything, I know I would have regretted not knowing.
    So sorry you're going through this hun!
    Married 07/2006, TTC since 2010
    08/2011: Clomid 50mg, IUI --> BFN  ,
    10/2011: Clomid 100mg, IUI --> BFN
    04/13: Clomid, IUI BFP --> MC at 6w1d
    05/13: Femara 2.5mg, IUI --> BFN  , 08/13: Femara 2.5mg --> BFN
    03/14: Femara 5mg, IUI --> 1 follicle @ 27d --> BFP! EDD 12/02/14--> blighted ovum, missed MC 6w6d --> D&C
    4/23: D&C...starting over again, with a little part of my heart broken off
    5/31: Femara 7.5mg --> cancelled cycle, no follies
    7/14: Femara 5mg + brevelle + menopur + IUI --> converted to IVF, ER 7/28 --> ET cancelled due to severe OHSS.
    9/20/14:  Frozen Embryo Transfer --> BFP--> EDD 6/6/15 --> MC at 5w3d      
    10/16/14: Frozen Embryo Transfer --> BFN
    2/6/15: Frozen Embryo Transfer --> BFP --> MC at 5w4d
    3/20/16: PGS-tested Frozen Embryo Transfer --> BFP, Living Child born 12/1/15
    6/6/17: Fresh IVF Cycle --> Severe OHSS, 5 PGS-tested embryos frozen
    2/23/18: PGS-tested FET --> BFN
    3/30/18: Cancelled cycle due to lining 4.2mm
    6/21/18: PGS-tested FET --> BFN
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    MrsKush1014MrsKush1014 member
    I have no experience with Provera, but want to give hugs and share a TP to your doc.

    image
    BFP: 3/9/2014  EDD: 11/11/2014  MMC: 4/10/2014  D&C: 4/11/2014
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    rslh10rslh10 member
    Seriously, today is a shitty day for medical offices everywhere. I am sending you giant hugs. <3 >:D<
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    MrsPhD83MrsPhD83 member
    wow. this whole thing sounds crazy. i'm so sorry you're dealing with this. as far as your provera question, I took it once in the past. when i stopped taking birth control, i didn't have AF for like 80 days or something, so i took provera to end the cycle. the first dose i took was at 5 pm, and then i subsequently took a 2 hour nap. oops! after that i took it before bed. much better!
    --------------------------------------------------------------------------------------------------------------------
    Me: 31, DH: 30, Married July 2013
    TTC since March 2014
    BFP#1  5.17.14, EDD 1.26.15, MMC (measuring 6w3d at 8w3d), D&C 6.26.14
    BFP#2  9.19.14, EDD 5.29.15, AF on 9.23.14 CP
    BFP#3  12.17.14, EDD 8.25.15, AF on 12.21.14 CP#2

    Current plan: TTC while waiting for RPL results to come back
    Stalk my ute
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    stinybeanstinybean member

    I am sorry that you have to deal with this. I do not have any advice for you, but I just wanted to say that you tell the best tales with the use of yours gifs. I would LOVE to have a conversation with you in person because I think that you must be quite expressive and overall a fun person to talk to. FX for your biopsy results (I would've chosen option 1 too). ((HUGS))image

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    BookishMommaBookishMomma member
    Seems like your doc is just as confused as you are, and possibly more so?
    image
    image
    DX: I'm a Recurrent Loser
    Me (35) + DH (37) - Married Sept. 2007
    BFP #1 - DS born 7/11/11
    BFP#2 11/13/13 - EDD 7/29/14 - M/C at 5w3d
    BFP #3 12/28/13 - EDD 9/7/14 - M/C at 4w6d
    BFP#4 3/27/14 -  EDD 12/5/14 - Girl lost to 45X at 8w6d - D&C 
    BFP#5 10/15/14 - EDD 6/30/15 - M/C at 7w2d
    BFP #6 1/5/15 - EDD 9.16.14 [CLICKY for progress]
    In search of a image


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    PinkCaminoPinkCamino member
    Oh Bug I'm so sorry.

    Fwiw I took it for 5 and 10 days. I'd probably go for 10 or even 14 in your case to give you a break from the bleeding.
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    jbasore1123jbasore1123 member
    Huh. I don't even know what advice to give you since I'm so confused by your appointment and your doc. Sorry you have to deal with that

    TTC since April 2012

    BFP #1, 10/03/2012 - EDD 6/15/2013 - MMC 11/15/2012 - D&C 01/04/2013

    BFP #2, 04/06/2013 - EDD 12/17/2013 - MC 04/19/2013

    6/12/2013 Diagnosed with Balanced Translocation (12 & 16)

    IVF #1 with PGS: 10/2013: Canceled 9/27/2013 for issues with genetic lab

    IVF #1.5 with PGS: 11/16/2013: Canceled. 11 eggs retrieved, 9 mature & 9 fertilized, all unhealthy embryos

    IVF #2: 1/22/14: Canceled. 16 eggs retrieved, 14 mature, 7 fertilized, all unhealthy embryos

    IVF #3 with PGS: 5/10/2014: Switched to FET in July. 10 eggs retrieved, 9 mature, 8 fertilized, 2 healthy embryos!

    FET #1: 7/31/2014: Transferred 2 nearly perfect (6AA, 6BA) healthy embryos- BFFN

    Laproscopy: 10/2014: Healthy uterus

    IVF #4: 12/8/2014: Canceled. 17 eggs retrieved, 15 mature, 10 fertilized, all unhealthy embryos



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    Km380Km380 member
    I don't have experience w provera but what the f is going on with doctors lately. I'm so sorry you're dealing with this, I would have pushed for the biopsy too. Fx for you it comes back all clear. Lots of hugs to you and a tp to your doc

    PgAL welcome


    Married 6/11/2011

    Me & Hubby: 34

    TTC journey started 12/2012

    BFP #1 6/5/2013, MC confirmed 6/26/2013 @ 7 wks

    BFP#2 8/25/2013 MC confirmed 10/16/2013 @ 12 wks (D&C 10/18)

    Diagnosis: unexplained RPL, unexplained IF.

    Also have hypothyroidism

    Started TTC again 12/2013

     

    IUI#1:Clomid CD 3-7, Trigger'ed CD 12. IUI CD 14. BFN

    IUI #2:Letrozole CD 3 - 7, Follistim CD 9, Trigger CD 10, IUI CD12. BFN

    Current plan: IVF with PGD. Antagonist - Vivelle Protocal. Stim start 12/1. ER 12/14.

    http://www.fertilityfriend.com/home/502498

    image imageimage

    image


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    meredithcarolemeredithcarole member
    Ugh! Sorry, girl. What a crappy way for him to respond. ((Hugs))
    TTCAL January Siggy Challenge: Animals in the Snow

    image

      
    About Me: 

    AMA 35 :  DH 33
    BFP#1 1/26/14 (EDD: 10/7/14).  MMC 3/10/14 D&C 3/14/14
    RE Consult 11/3/14 - AMH 2.25 "great" . FSH 7.10 . Low Vitamin D
    Myomectomy 12/17/14.  Benched until March.

    image

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    RachaeleighRachaeleigh member
    I don't know anything about provera and this plan is confusing :-/
    I hope you get some answers ((hugs))

    4 Losses (2003, 2008, Apr 2012, & Oct 2012)
    All RPL and IF testing with multiple REs = normal

    5 IUIs = BFN

    All AL are welcome
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    Buttercup509Buttercup509 member
    I'm sorry he is such a douche canoe. FX the biopsy comes back normal. Lots of hugs.

    TTC since May 2013
    BFP #1 11/22/13 EDD 7/31/14
    MMC 13 weeks - discovered 2/13/14 at 16 weeks - Trisomy 13 - D&C 2/14/14
    BFP #2 10/9/14 EDD 6/22/15
    ~Everyone is welcome~
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    tlc35tlc35 member
    I don't have any new advice, just hugs.  I'm sorry for all this shit and hope the biopsy results are OK.
    Me: 37                                               
    DH: 45
    BFP #1 3/19/14  EDD 11/29/14 MMC D&C 4/24/14
    BFP #2  12/4/14 Beta #1 218 at 12dpo Beta #2 1055 at 16dpo
    Saw heartbeat 12/29.  Please be a rainbow.
    imagerainbows
              
    All welcome                                   
                              
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    LaRomana09LaRomana09 member
    Is this your doctor?  Because this is how I'm picturing him in my head.

    image

    Bug, I'm so sorry you're dealing with this.  I hope the biopsy comes back normal and I'm sending you tons of ((((((((((HUGS)))))))))).

    image
    image
    My Ovulation Chart
    TTC since March 2012 
    BFP #1 1/29/13, EDD 10/9/13 
    MMC discovered at 10 weeks (baby measured 9 weeks) D&C on 3/16/13 
    BFP #2  CP on 3/31/14
    BFP #3  8/11/14  EDD 4/22/14
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    jenn0021jenn0021 member
    I'm sorry your doctor is such an idiot and hard to trust. I wish that we could have more faith in our own doctors.

    I have no experience with Provera but I hope that you can get it figured it out and hopefully get your cycles back on track. Having so many periods does "sound like fun".
    8-|
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    Started TTC June 2010
    BFP #1     07/04/10. EDD 03/14/11. Missed m/c 08/09/10. D&C 09/27/10. }Casey & Jaimie{
    BFP #2 01/14/11. EDD 09/25/11. Missed m/c 02/18/11. D&C 02/24/11. }Dustin{
    TTA for 18 months and then TTC for 12 months
    BFP #3 08/18/13. EDD 04/30/14. Missed m/c 09/25/13. D&C 09/26/13. }Daylin{
    TTA for 7 months
    Jan-Mar 2014 - RPL, SHG, karotyping: all results normal
    TTC Again May 2014
    Progesterone & baby aspirin combo for 5 cycles     - All BFN's
    SA with DNA fragmentation = Perfect results
    Diagnostic cycle monitoring = Polycystic ovaries leading to premature egg release
    TTA Oct 2014 - Jan 2015
    Jan 2015 - Medicated cycle with timed intercourse
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    My Blog: The Canadian Housewife    PGAL/PAL Welcome    My Chart
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    blackbird818blackbird818 member
    I know I'm way late to the "party". First off (((hugs))) to you, bug. Awesome GIF story as usual!

    Second, apparently Monday was 'National Doctors Suck Day'

    And third I just wanted to throw in my "expert" Provera opinion since I've taken if like 8 times in less than 2 years. I always take mine at night as MFR mentioned to lessen the possible side effects. It usually makes me drowsy (kinda like Benadryl).
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    gscovillegscoville member
    I just want to offer you big (((((hugs))))) Love, I hope things get figured out soon - how frustrating for you! >:D<


         

    imageimage

    Married August 2012. Me: 41  DH: 42 
    Daughter from previous marriage: 20

    BFP 12/19/12: Ectopic discovered at 8 weeks, right tube removed 01/18/13
    June 2013 Testing Results: Progesterone: 31.7, LH: 5, FSH: 5, Estradiol: 161
    Clomid cycles Nov. 2013 and Jan, Feb, and March 2014

    TTC journey over as of the end of October 2014

    TTCAL BLOG

    All ALers welcome!

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