HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Delayed Menstruation Despite Taking Provera?

Posted on Thu, 9 Jun 2016

Question: hi, I was prescribed to do the Provera challenge for 10 days by my doctor I have completed a little over 2 weeks ago and still no period any idea what it might be? as to why I haven't gotten it? and what the next course of action might be?

Answered by Dr. Manisha Jain (3 hours later)

Brief Answer:
Need a few details

Detailed Answer:
Hello and welcome to HCM. I have read your query and understand your concerns completely. I need a few details. when was your last menstrual periods? Have you undergone any blood work , if yes then please upload the reports . If not then I would like you to have your serum LH, FSH, Prolactin done. what dose of provera were you on.? can you tell me your weight, if u are comfortable ? I would like to hear from you soon. Regards Dr Manisha Hain.OBGY Specialist.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Jain (3 hours later)

hi, my last , menstrual cycle will have been 2 years ago in august. I was overweight and once I started losing weight I lost it even before I got underweight last April I was admitted to the hospital and then released two days later with instructions to gain weight I'm 5 ft 2 in and at that time was 96 lbs I however reached a healthy weight of 115 last XXXXXXX but I'm currently sitting at about 124 lbs. I have had tons of blood work done however I don't have access to the records to upload it. everything came back good though I have also had a transvaginal ultrasound which came back good as well. as far as the dose of Provera I'm pretty sure it was 10mg

Answered by Dr. Manisha Jain (16 hours later)

Brief Answer:
Tests advised

Detailed Answer:
In my opinion you need extensive work up of hormones as this loss and gain of weight has disturbed all the hormones.
Get FSH,LH, AMH, TSH and prolactin levels done and then tell me the report.
The absence of periods even after provera challenge is suggestive of need of estrogen supplementation along with provera to form endometrium capable of menstruation.
Wish you all the best for test results
Regards
Dr Manisha

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar