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What causes breakthrough spotting and negative pregnancy result post intake of Meprate?

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Posted on Tue, 17 May 2016
Question: Sir,
I had been adviced to take meprate 10mg tab for 14 days twice a day afetr stopping that tab i check my pregnancy test & is negative after 3 days more it comes negative bt after one day i am getting spotting no havy bleeding what is the cause?
doctor
Answered by Dr. Sameer Kumar (7 minutes later)
Brief Answer:
failed cycle. its your menses starting.

Detailed Answer:
Hello,
Thanks for the query to hcm,
The start of spotting on 7th march is likely to be the start of your menses and is indicative of a failed cycle for conception. As you stopped meprate on 3rd March so incase you would have become pregnant then meprate would have further supported your pregnancy but as there is no pregnancy meprate has initiated a withdrawal and today is your second day of menses.
The flow may increase slowly this time. You should consult your gyn if she has planned for a second ovulation induction cycle for this month or not . If yes then you should be started on clomiphene citrate from ideally today itself or at XXXXXXX by tomorrow.
Please consult your gynecologist.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (14 minutes later)
no sir the flow is not increasing
doctor
Answered by Dr. Sameer Kumar (2 minutes later)
Brief Answer:
answered

Detailed Answer:
The flow shall increase in next 24 hrs ideally. However for all practical purposes if spotting has occurred then it should be considered as a start of your withdrawal bleed. I suggest you wait for next 24 hrs and keep your gynecologist in picture.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (3 minutes later)
Sir,

should i start taking clomid from today itself will it be harmful for practising it in every cycle?
doctor
Answered by Dr. Sameer Kumar (15 minutes later)
Brief Answer:
answered

Detailed Answer:
Hello,
If you would have been my patient then i would asked you to get an ultrasound pelvis done first to look endometrial lining thickness and any collection in uterine cavity indicating menses and then after confirming would have asked you to start clomiphene from today itself till next 5 days at the dose of 75mg to start with, but as you are already under a gynecologist , so you should keep her in picture as she would be following you up during follicular monitoring during this fresh cycle.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1718 Questions

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What causes breakthrough spotting and negative pregnancy result post intake of Meprate?

Brief Answer: failed cycle. its your menses starting. Detailed Answer: Hello, Thanks for the query to hcm, The start of spotting on 7th march is likely to be the start of your menses and is indicative of a failed cycle for conception. As you stopped meprate on 3rd March so incase you would have become pregnant then meprate would have further supported your pregnancy but as there is no pregnancy meprate has initiated a withdrawal and today is your second day of menses. The flow may increase slowly this time. You should consult your gyn if she has planned for a second ovulation induction cycle for this month or not . If yes then you should be started on clomiphene citrate from ideally today itself or at XXXXXXX by tomorrow. Please consult your gynecologist. Regards