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Expert Q&A

 

By Lawrence B. Werlin
Fertility Specialist

I have had two pregnancies. The first resulted in early separation of the placenta (a baby girl), and the second birthed a healthy baby boy almost two years later.

Just after my son's first birthday, I stopped using contraceptive pills in order to try to conceive. Since I conceived my son with the aid of Clomiphene, my doctor put me on the same fertility medication, as well as Provera (to induce a period), five months after going off the pill. Three months later, he stopped fertility treatment, as I was not responding. No ovulation even up to doses of 150.

About six weeks after stopping fertility treatment, menstruation began. It has been two and a half weeks of HEAVY menstruation. I am left feeling very tired and exhausted. No energy to do anything. On top of all that, I have not been sleeping well for the past week. It is very hard for me to concentrate at work because of it all. Any idea why this is? I'd appreciate any input that you have on this situation."

In view of the fact that you have not responded to medication and have also required the use of Provera to induce your menses, it sounds as if you are anovulatory (not ovulating). I would recommend that you follow up with your physician and have certain blood tests done on day 2 to 3 of your cycle to include Serum Estradiol, Serum Prolactin, TSH and Free T4, since these are all hormones which may affect your normal cycling mechanism. I would also recommend that you have a complete blood count (CBC) to try to evaluate your feelings of being tired and exhausted."

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