Pregnant Following Provera?

We have been trying to get pregnant for almost one year and still no baby. I was on the pill for only 3 years and went off it six months before we started trying. For six months I wasn't getting my period or I had very light spotting. I My gynecologist prescribed Provera and in a few days I had my period. Two weeks later I was spotting and cramping. Two weeks after that I had some bleeding and cramping again and again after another two weeks. My husband wants me to take a pregnancy test because his mother bled like that through both of her pregnancies. Could I be pregnant?

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Peg Plumbo CNM

Peg Plumbo has been a certified nurse-midwife (CNM) since 1976. She has assisted at over 1,000 births and currently teaches in the... Read more

I believe that any bleeding in a woman of childbearing age who is trying to conceive should be considered pregnancy until this is categorically ruled out. So, I guess I agree with your husband that you should have a pregnancy test done. If this is negative, then I would recommend doing basal body temperatures to see if you are ovulating. If you are not, then intervention (medication such as Clomid) could be given to induce ovulation. If you are ovulating, there could be some deficiency in hormone levels unique to the post ovulatory half of the cycle that could be corrected by giving estrogen or progesterone or both. In any event, I would recommend that you consult a good endocrinologist, especially if time is critical for you. It would be best to find out what the problem is so you can deal with it and get on with your childbearing.

Sometimes, an endometrial biopsy is necessary, which is a small surgical procedure, to find out what the endometrial response is like. This is done during the first half of the cycle, before ovulation, because it could disrupt a pregnancy if done after ovulation.

I wish you luck with your conception plans and hope all works out for you.

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