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Could I be pregnant or is it PMS symptoms?

November 4, 2009 - 7:14pm 73 reads 9 comments

Last month I had two periods (10/5-9/09 and 10/17-21/09), this is something that has never happened to me before. My doctor prescribed Provera 10mg (10/20) to stop the bleeding, I took Provera from 10/20-29/09. Bleeding twice in one month confused me with my ovualation, I used to have those days done. Towards the end of last week I started to feel a little nausea, then Sunday my breasts started to feel really tender, esp my nipples.I also started to feel very tired, a little dizzy, and my mood has changed a little. I usually get symptoms of PMS about two or three days before my period begins, but my breasts have never been this sore for this long and I've never experienced dizziness or nausea. If I calculate my cycle starting 10/5, should've gotten my period Sunday. I took a HPT on the 3rd. What should I do now?

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Alison Beaver

Medroxyprogesterone (brand name Provera) has many side effects that you have listed, and I'm wondering if you've considered your symptoms being from the drug, and not from a possible pregnancy?

It is important to read the patient information brochure that comes with this prescription, as it is important to prevent pregnancy while using Provera, as it may cause harm to the fetus. Did your doctor or pharmacist explain to you, that it is important to use condoms while taking this medication?

Please read the information provided to you with your prescription, and you can review this information from MedlinePlus (part of the National Institutes of Health) regarding the Drug Information for Medroxyprogesterone:
"Medroxyprogesterone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
* breasts that are tender or produce a liquid
* changes in menstrual flow
* irregular vaginal bleeding or spotting
* acne
* growth of hair on face
* loss of hair on scalp
* difficulty falling asleep or staying asleep
* drowsiness
* upset stomach
* weight gain or loss

Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:
* pain, swelling, warmth, redness, or tenderness in one leg only
* slow or difficult speech
* dizziness or faintness
* weakness or numbness of an arm or leg
* shortness of breath
* coughing up blood
* sudden sharp or crushing chest pain
* fast or pounding heartbeat
* sudden vision changes or loss of vision
* double vision
* blurred vision
* bulging eyes
* missed periods
* depression
* yellowing of the skin or eyes
* fever
* hives
* skin rash
* itching
* difficulty breathing or swallowing
* swelling of the hands, feet, ankles, or lower legs"

What instructions did your doctor provide to you? S/he should have explained the process, what s/he hopes to gain from treatment, and what you should expect. If s/he did not, please call your doctor's office and speak with a nurse, who can provide you with the information you need to know about your next steps.

Let us know what information you find out, and if you have any follow-up questions. Your nurses will not be able to tell you when your next period should begin, since you had an irregular previous cycle, and the progesterone you took will change/alter your cycle also.

Keep us updated!

jj

The reason I was put on Provera was to stop the bleeding I was experiencing. She said it was unusual for me to have two periods in one month. I'm the type that reads all labels and info before starting any meds...even if I've been on them before, so I know all the side effects. I just don't understand why the symptoms would start days after I've finished taking them. I did not start having these symptoms until I finished taking the meds. I finished the meds on Thursday and starting having the symptoms on Sunday. If I have not gotten my period or the withdrawal bleeding by the 9th, I will be giving my doctor a call.

jj

Additional info...the doctor figured I had these two "periods" in one month from the birth control I was taking (Loestrin 24). She also told me Provera works as a birth control, so my boyfriend and I did not use protection during the times we had sex.

Susan Cody

Hi jj

There isn't a whole lot you can do now, until you get your next period. Your symptoms can be any number of things, as Alison said - from PMS to pregnancy, to a reaction to the Provera.

I assume your EPT was negative. Unfortunately you may have to wait it out another week, since it's too hard to gauge your new cycle. Should you go by the date of your first period in October, or your second one? Probably your second one but this is unpredictable. Consider yourself a bit in limbo until you get your next period and use these new dates to track your cycle.
Use birth control (not Provera) until you know for sure.
What are you using now, for birth control?

jj

I appreciate your comments. We are not using an birth control, we decided to stop about a month ago. My last day taking Provera was 10/29. I'll just have to wait it out...my situation is so confusing.

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