Posted by: what | 2008/10/15

help please

hi there. i am so desperate for someone to tell me anything that could help. i started 3 months depo in 2001. stopped it in April 2007. During depo stage i didnt have my periods at all. a few months after i stopped i bled but didnt have regular bleeding. saw a dr just after i stopped depo and he send me for ultrasound and blood tests. tests came back fine except for progesterone level which was low. (Due to depo?) last few months i have had my periods every two weeks for five days. saw a gynae who sent did a internal unltrasound. No problems there with ovaries, uterus lining etc. he sent me for a day 21 test to check if i ovulated but the day i had to go i just stopped bleeding. test came back negative. (could this be because i had just bled?, or do i really have a ovulation problem). saw a different gynae he did another ultrasound and didnt pick anything up. did one cycle of fertomid 100gm for five days. had period on time. decided not to take another dose for now. Had my last period on 24 August and nothing since then. what is happening? i am a little overweight, 25 years of age, non drinker and non smoker.

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Our expert says:
Expert ImageFertility expert

Dear What

It is not unusual for the effects of Depo Provera to persist for up to 2 years after stopping treatment. This may present as dysfunctional uterine bleeding (irregular vaginal bleeding) or in the form of ovulation dysfunction. However before trying to correct the ovulation problem it will still be important to rule out other concomitant factor responsible for infertility such as semen analysis and tubal patency evaluation. If all other factors are within normal limits then ovulation induction can be induced either by using oral preparations such as Fertomid, Clomid Serophene etc or if necessary by a combination of oral preparations and injections. Occasionally a 3-month course of the oral contraceptive pill may be valuable in returning the hormone system back to its normal cyclical pattern following which ovulation may occur spontaneously and natural conception would therefore be possible.

Answered by: Dr. M.I. Cassim

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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