Question: Hi Doctor,
We are trying to conceive for the last six months but I am still having problems.
Please see the timeline and list of symptoms and treatments I have went through.
Timeline:
-     Aug 2014 to Dec 2014
o     Symptoms: Delayed or Irregular periods, heavy bleeding and pain in lower abdomen which was also swollen.
o     Ultrasound performed detects 2-3 mm Polyp.
o     Laparoscopy prescribed by Gynaecologist in Canada but waiting time was around six months.
-     Dec 2014- XXXXXXX 2015
o     Visited Pakistan.
o     Laparoscopy and DNC performed in Pakistan on the 19th Dec 2014.
o     Polyp removed and other specimens sent for biopsy.
o     Biopsy results show Focal Endometrial Hyperplasia without atypia.
o     PCOS diagnosed also.
o     Gynaecologist prescribes the following for a week after the laparoscopy and DNC performed on the 19th Dec 2014 :
     Neodipar (Metmorfin) - 500 mg twice daily.
     Ciproxin (Ciprofloxacin.) – 250 mg – thrice daily
     Flagyl (Metrodinazole) – 250 mg – thrice daily
o     Back in Canada. First period comes on 17th January 2015 after laparoscopy and DNC accompanied with heavy bleeding. The period ends on the 22nd of January 2015.
- XXXXXXX 2015-Feb 2015
o     I start taking the medications listed below on the fifth day of period (22nd January 2015) as prescribed by the Gynecologist. Please note that Provera was prescribed to reduce the risks of endometrial hyperplasia from happening again.
     Provera 10mg – (medroxyprogesterone acetate) (Twice daily for 21 days per cycle /Prescribed for three cycles)
     Neodipar (Metmorfin) - 500 mg twice daily.
     Metafol – 1 daily (L-Methylfolate 400mcg, Vitamin B12)
     Evion – 1 daily (Vitamin E supplement)
     Ascard (Aspirin) – 1 tablet - 75 mg daily
     Prenatal Multivitamin
o     31st XXXXXXX 2015: Mild brownish spotting occurs on the 31st of XXXXXXX that lasts for 4 days.
o     13th Feb 2015: Brown colored spotting starts again on the 13th of Feb and lasts for 2 days.
o     22nd Feb 2015: On and off Spotting starts again five days after expected period date.(Home Pregnancy kit shows negative result for pregnancy.
o     Current Condition:
     On and Off Spotting continues but no heavy or period like bleeding.
     Pain on both sides of ovaries and the surrounding area and lower abdominal area
     Constipation, fatigue, High basal temperature, mild dizziness, varying pain by kidneys.
I am still waiting for my Gynecologist to call and set up an appointment for me .But I needed answers a bit sooner than that.
My questions are:
-     Does Provera cause spotting?
-     For my next cycle, should I quit taking Provera or minimize its intake?
-     Considering that I have light periods right now and there is still a chance of me being pregnant, should I carry with the prescription suggested by my Gynecologist?
- Considering I want to conceive, should I stop taking any of these medications
-     Could all this be a side effect of any of these medication?
Thank you greatly for your guidance.
XXXXXX