What could be wrong???

Question

Okay the RE put me on Prometrium to make me have my cycle. I am supposed to take it for 10 days then I should start. Well in July AF came on the 12 day after starting the Prometrium so it was good. Well, he put me on the Prometrium again this month but now I am scared. Now I am on day 17 and still have not started. I as so looking forward to this cycle to take the clomid again (this time 150mg). He told me to call in if I dont start on the 20th day but that is Sunday so I will have to wait till Monday. I am just scared that I am not making good progress I am going backwards. Has anyone else every happen to them. I think I am going to start, I have all the signs for the last 4 days sore breast, cramping, and some discharge. I am scared to call the RE cause I dont know what will happen now. Anyways, Sorry if this is too much information. I am just a little worry! I Dont think there is any way I am pregnant. Thanks and Baby dust to all!

Answer 1

Provera is often given as the 'Progesterone (Provera) Challenge Test' to women who have no period and who are not pregnant. In this test 10 mg of provera is often given over 7-10 days and bleeding is expected within 2 weeks after the last pill.

Vaginal Bleeding

If there is vaginal bleeding after this test then the diagnosis at this point is anovulation. Some experts believe that an LH and FSH level may be helpful at this point. If the LH is high (above about 10 MIU/ml) and the LH/FSH ratio is above 2:1, this supports the clinical diagnosis of polycystic ovarian disease (PCO).  However, many patients with PCO do not demonstrate this high LH/FSH ratio. Testosterone and DHEAS levels may be useful in women with PCO, especially in the presence of hirsutism or other signs of hyperandrogenism (excess male hormones).

No Vaginal Bleeding

If there is no vaginal bleeding after this test, then there could be one of three conditions:

1. Premature ovarian failure

2. A low estrogen level, usually hypothalamic-pituitary failure

3. Outflow tract obstruction: Scarring in the uterus or cervix.