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Provera and no period after 14 days
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Provera and no period after 14 days

I am 24 years old and trying to get pregnant with my second child. I got pregnant the first month off birth control pills with my 2 year old. I stopped taking Seasonale in July after being on it for 18 months to get pregnant. I never got my period after stopping Seasonale. My doctor wanted me to wait till the middle of September to see if my period would come naturally. It didn't so she prescribed me Provera (1 pill a day for 10 days) to make my body have a period. I took it like i was supposed. It has been 14 days after my last Provera pill and still no period. What does this mean? I read somewhere on the internet this could be a sign of early menopause. I am 24!! I have also taken a dozen pregnancy test and their negative. I need HELP!!
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Avatar_n_tn
Dear jennphilg-

It is very unlikely that you have early menopause. Most of the time, the lack of periods, and the failure to have bleeding from provera, indicate that your estrogen levels are low. This can be due to many factors, including weight loss, low body mass index with less body fat than is required, stress. Sometimes, lack of periods can also be due to the opposite - being overweight, having some excess male hormone. Finally, if you had any problems after delivering your baby the lack of periods could be due to scarring in the uterus, although this is not common.

Since it has been four months, I would recommend that you be evaluated by your doctor and that some blood tests be done. These would include FSH (if this level is low, it will confirm that you are not in menopause), progesterone (to see if you have ovulated spontaneously in the past few days), prolactin, TSH, estradiol, and beta-HCG (to check again to see if you are pregnant). If you have some excessive hair growth, also consider having lab testing for testosterone, free testosterone, DHEA-S. All of these are hormone tests.

Between an exam, and ultrasound, and the blood tests it is possible to figure out why you have not had regular periods, and it is possible to determine if you need fertility drugs to start ovulating again.

If your regular MD does not feel 100% comfortable looking after women who are trying to get pregnant but not ovulating regularly, then you should ask to see an infertility specialist/reproductive endocrinologist.

Chances of early menopause are probably less than 1/1000.

Good luck!
3 Comments
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Avatar_f_tn
I too am having the same problem, but I took Prometrium after a miscarriage.  Still no period for me.  I was told that it could take 7-10 days.  I have read a lot online about Asherman's.  I am scarred that is what it is.
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Avatar_n_tn
ok well my last period was july 26th... we started trying aug 1 for number two... well since then i havent had a period im 54 days late ... iwent to the dr all test are neg.. blood neg.... all other test cam out normal..... well she put me on progesteron for a week... and she said it COULD take up to 2 weeks after well i only have 4 more days until it has been 2 weeks and still no period........what could be wrong ..... im never late on my period... and we started trying and then no periods...... my first daughter only took one try and we got preg.. so whats up ?????? im also only 24 years old .....
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Avatar_f_tn
A related discussion, i stopped provera 4 weeks ago still no period was started.
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Avatar_f_tn
Don't worry....it will come. I took provera and it took 12 days after the last pill.  I decided to call my dr to schedule and appt on the 11th day and the next morning AF came
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