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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Spotting After Receiving A Depo Provera Shot?

I had my depot provera shot in Aug last year(6 months ago),but have been having continuous spotting.Now i would like to get pregnant, can i use clomiphene as i dont have regular cycles and am not ovulating.Can i take clomiphene whilst am bleeding(spotting)?
Wed, 7 Mar 2018
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General & Family Physician,  's  Response
Hello,

Provera depot is a long acting hormonal contraceptive, the inbuilt hormone being active for 3 months. It causes menstrual irregularity during the period. Even after withdrawal of the injection.

Hormonal imbalance caused by the injection remains for a prolonged time, so normal menstruation, ovulation and conception is not possible till hormonal pattern returns to normal and menstruation gets normal (It may take 6 months to 1.5 years depending on the period for which the contraceptive was used).

I feel taking Clomiphene at this stage would add to hormonal confusion. So, better you wait for normal menstruation to start. In case the menstrual irregularity remains longer, you should consult a gynecologist to exclude/find other causes of irregular periods.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Vasudha Jayant Athavale
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What Causes Vaginal Spotting After Receiving A Depo Provera Shot?

Hello, Provera depot is a long acting hormonal contraceptive, the inbuilt hormone being active for 3 months. It causes menstrual irregularity during the period. Even after withdrawal of the injection. Hormonal imbalance caused by the injection remains for a prolonged time, so normal menstruation, ovulation and conception is not possible till hormonal pattern returns to normal and menstruation gets normal (It may take 6 months to 1.5 years depending on the period for which the contraceptive was used). I feel taking Clomiphene at this stage would add to hormonal confusion. So, better you wait for normal menstruation to start. In case the menstrual irregularity remains longer, you should consult a gynecologist to exclude/find other causes of irregular periods. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale