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.
Question Hi there,
If you can't answer this question I understand. I possibly had a chemical pregnancy in march. I have not had a normal menstrual cycle since then. which normally they are quite normal. so my dr. prescribed me provera to jump start my period. my question is do you think that ovulation should occur after this induced period or do you think since the provera makes me bleed ovulation will not occur? also, we are trying to conceive. I took a ovulation predictor test just to see what happened and it turned out positive. i am on my 4th day of the pill, could i be ovulating on provera? really weird. please help. thank you in advance.
Answer Dear Megan,
Changes in your menstrual cycles after a miscarriage or other pregnancy loss are not uncommon. It is a delicate balance of estrogen and progesterone that causes menstruation to occur every month. The estrogen rises in the first half of the cycle. After ovulation occurs, the progesterone rises in anticipation of a potential pregnancy. If pregnancy does not occur, the ovary stops making progesterone, and the level drops. This sudden drop in progesterone is what causes the uterus to shed its lining, a.k.a your period.
Provera is synthetic form of progesterone. If your uterine lining has been stimulated by estrogen, and you then take Provera, the same type of changes occur that trigger a menstrual period when the Provera is stopped. So bleeding after Provera indicates that you make enough estrogen to stimulate growth of the uterine lining and that the cervix and uterine lining are structurally normal. Typically however, the short course of Provera only works to bring on bleeding. It does nothing to induce ovulation or address any underlying conditions that might be associated with a lack of ovulation. If you are ovulating, it is likely just a coincidental event.
I hope this has helped you and answered your question. I wish you well.
