AboutBrenda Expertise I have been an R.N. since 1988 and come from a family of nurses. I have clinical experience in labor and delivery, as well as post-partum care and pre-term pregnancy complications. I have also worked in Community Health Clinics dealing with this area of expertise, including WIC (Women, Infant, & Children) clinics performing nursing evaluations and assessments in determining a need for services or intervention for pregnant women, newborns, and young children. I have worked in immunization clinics in and around my community as well. I also have several years experience in OB and Pediatric Home Care Nursing. In addition to that, I am a mother of two, ages 21 and 16, both of which I had hoped would be vaginal deliveries, but ended up being C-Sections... one of which had me in pre-term labor...another which was frank breech (bottom first)... one who rejected the breast... and so on... to list my personal experience would be a bit lengthy! I'd simply like to help anyone who might have a question or concern that I can draw on my expertise to answer!
Experience I have been an R.N. since 1988 and come from a family of nurses. I have clinical experience in labor and delivery, as well as post-partum care and pre-term pregnancy complications. I have also worked in Community Health Clinics dealing with this area of expertise, including WIC (Women, Infant, & Children) clinics performing nursing evaluations and assessments in determining a need for services or intervention for pregnant women, newborns, and young children. I have worked in immunization clinics in and around my community as well. I also have several years experience in OB and Pediatric Home Care Nursing. My experience also includes approximately three years working in Behavioral Services.
Education/Credentials Graduated from the Mary Lanning School of Nursing in May 1988. Have been a licensed Registered Nurse in the state of NE since 1988.
Expert: Brenda Date: 7/1/2008 Subject: Pregnancy after provera
Question Hi! I had a miscarriage at 9wks and had to have a d&c on April 15,2008. I waited about 8wks post d&c and called my md because I never started a cycle. We waited until week 11 post d&c and they started me on Provera 10mg for 10 days to induce a cycle. I ended the provera on Friday(6/27) and I still have not started. I know it has only been three days but my two questions are: 1. Will I still ovulate this cycle after my period-is there a chance of conceiving? 2. Is it true there is a strong chance for multiple pregnancies after provera?
I got pregnant the first try my husband and I tried to conceive, there was something wrong with the babys heart which is why there was a heart beat for the 1st two ultrasounds. We were wondering this because we both have twins on each side of our families.(Grandparents on both sides and my mom's brother & sister). So we do know that everything "works" just fine it is just being sure the baby is safe and healthy. I never came off my prenatals. I am 27 yrs old. I hope this is enough information. Thank you in advace for your help.
Answer Dear Jillian,
Provera is not a medication that is typically associated with multiples. Provera is simply synthetic progesterone - a hormone already produced by your body and necessary for the menstrual cycle to get into that rhythmic pattern - and thus trigger ovulation. If you would happen to conceive twins, I would say that will be related much more to your family history than an association with any medication.
I cannot say whether you will absolutely ovulate with this cycle or not. It really depends upon what is causing the delay in the start of your menstrual cycles to date - especially after the full course of the Provera. My recommendation would be to see (or at least call) your doctor if you do not start a period this week. They may very well want to do a quantitative blood pregnancy test to make sure you have not conceived another pregnancy after your D&C, which would explain the absence of a period since then.
I hope this has helped you and answered your question. I wish you well.
