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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Continuous Bleeding, Not Perimenopausal, On Provera. Normal Pap Smear, Thyroid. What Could Be The Cause?

I m 44 and went to the dr for my period lasting 30 days Pap smear came back fine and thyroid ok. He said he didn t think I was perimenopausal because of hormone levels. I ve been on provera for 10 days and still have my period. Nurse said it might take two weeks after taking pills to stop. I have not found one thing on line that supports this. I ve looked for 2 days. Should I be concerned n do you think the provera should have worked?
Wed, 27 Jun 2012
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OBGYN,  's  Response
Hi, I think provera must have worked by now. please go for a pelvic ultrasound scan as soon as possible to find out the cause of your bleeding , so that a specific treatment can be given to you. A local cause is more likely in your case e.g. a uterine polyp or a fibroid as this type of bleeding will not respond to medicines. I don't know your fertility status & any contraception you are on but please also check your serum BhCG levels. As you are above 40 an endometrial biopsy should have been performed before starting any treatment. You may add mefenamic acid & tranexamic acid to your prescription after discussing with your physician. May God help you.
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Continuous Bleeding, Not Perimenopausal, On Provera. Normal Pap Smear, Thyroid. What Could Be The Cause?

Hi, I think provera must have worked by now. please go for a pelvic ultrasound scan as soon as possible to find out the cause of your bleeding , so that a specific treatment can be given to you. A local cause is more likely in your case e.g. a uterine polyp or a fibroid as this type of bleeding will not respond to medicines. I don t know your fertility status & any contraception you are on but please also check your serum BhCG levels. As you are above 40 an endometrial biopsy should have been performed before starting any treatment. You may add mefenamic acid & tranexamic acid to your prescription after discussing with your physician. May God help you.