Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: Vicky81 on October 05, 2025, 04:45:52 AM
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This may sound silly but I'm about to start provera tablets today as I've not had a pill bleed for months .....Dr said you need one .
They've given me 5mg but my question is.....provera does halt ovulation doesn't it?
Hope I'm not being too stupid here ....and at what mg ? I'm a little out if whack with all this as I haven't done it in so long .....
Please help I've been through alot lately and my mind has been crushed xxxxx
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Plus I know 5mg is tiny so wasn't planning on just taking 5mg orr day .....but I really need your help and advice as I don't want to feel worse xxx love u all xxx
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Sorry does this doctor realise you are on the pill?
Nobody needs to have artificial withdrawal bleeds at all, they serve no medical benefits and certainly you don't need to take provera to induce one.
This is extremely poor advice and I am really concerned about the quality of medical care you seem to be getting, being on the combined pill, AND a patch, AND given provera!
I have been on the combined pill since I was 29, and I am now 45. I take it continuously and don't bleed at all. I certainly wouldn't be taking provera!
Please see someone who knows what they are doing, this doctor just seems to be mindlessly throwing the whole pharmacy at you without even a basic understanding of the physiology.
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Hi bombshell
I think what they're getting at is they don't want my womb building up as in the lining ....so they recommend I do what is normal...no more combined pill , and tk take provera fir 2 weeks, then you stop and allow what has built up to come out as a bleed to protect womb.
I have to come off yasmin at the mo be ause it's a big factor fir raising SHGB which therefore any estrogen that goes in it binds to the SHGB not allowing it to fre flow round my body.....it says on every document I've read .....cause of high SHGB- combined pill is yhe most culprit. So I need it to come down to allow my estrogen to free flow xxx
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This is not a thing. The strong progestin in the combined pill stops your uterine lining building up, and women who have been on the pill long term generally have a thin, atrophic lining.
However if you are stopping the pill and continuing with the estradiol patch, you do need to take a progestogen alongside this going forward to control your lining, however provera would not be most people's first choice due to less favourable cardiometabolic effects vs the more modern progestins or micronised progesterone.
Taking combined birth control at the same time as HRT is also likely to have contributed to the raised SHBG, so I would definitely recommend picking one or the other, not both.
However a raised SHBG in itself is a normal response to taking birth control and is not pathological nor needs to be managed, although it can reduce free testosterone which can result in reduced libido and mental health effects.
On the other hand this effect is deliberately sought in women with acne or PCOS who are seeking to reduce their free testosterone, which is why they often prefer pills with an antiandrogenic progestin such as Yasmin.
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Thanks bombsh3ll
But I need my SHGB to cone down, like I've said I've read so many official documents that state too high estrogen binds to SHGB not allowing it to free flow and be used...along with testosterone.
It said the combined pill us worse culprit on one paper abd my anger has been exactly the same as when I first started peri in 21. That's how I connected the dots.
So I'm using provera as I coukd take this alot more thn utrogesten that sent me crazy!!!
Then il have my patch on too.and have bleeds to shed mg womb as advised many times from specialist clinics yo my GP.....so the lining doesn't over grow.
I just need to give this a shot and bring down this high SHGB for my own sanity .....I can tell its got a hold of my estrogen as I've been wearing the same patch for a few weeks then out of nowhere rage .....volcanic rage just the same as when peri stated.
I did lots of research and the above about the SHGB if hogh like mine can sort of grab on ho my estrogen ....not letting free round Mt body I've been suffering so badly so I need to try this. I hope it works and doesn't give me e tra anxiety or anything but I have to try else il never know xxxx
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Thanks bombsh3ll
But I need my SHGB to cone down, like I've said I've read so many official documents that state too high estrogen binds to SHGB not allowing it to free flow and be used...along with testosterone.
It said the combined pill us worse culprit on one paper abd my anger has been exactly the same as when I first started peri in 21. That's how I connected the dots.
So I'm using provera as I coukd take this alot more thn utrogesten that sent me crazy!!!
Then il have my patch on too.and have bleeds to shed mg womb as advised many times from specialist clinics yo my GP.....so the lining doesn't over grow.
I just need to give this a shot and bring down this high SHGB for my own sanity .....I can tell its got a hold of my estrogen as I've been wearing the same patch for a few weeks then out of nowhere rage .....volcanic rage just the same as when peri stated.
I did lots of research and the above about the SHGB if hogh like mine can sort of grab on ho my estrogen ....not letting free round Mt body I've been suffering so badly so I need to try this. I hope it works and doesn't give me e tra anxiety or anything but I have to try else il never know xxxx
So last night night sweats....started provera yesterday. What should I do hun? Keep going and wait 4 the SHGB tobcome down as it's 250! I don't know what to do - or wpuld you up your patch? Mine is about 91/92mg?
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Thanks bombsh3ll
But I need my SHGB to cone down, like I've said I've read so many official documents that state too high estrogen binds to SHGB not allowing it to free flow and be used...along with testosterone.
It said the combined pill us worse culprit on one paper abd my anger has been exactly the same as when I first started peri in 21. That's how I connected the dots.
So I'm using provera as I coukd take this alot more thn utrogesten that sent me crazy!!!
Then il have my patch on too.and have bleeds to shed mg womb as advised many times from specialist clinics yo my GP.....so the lining doesn't over grow.
I just need to give this a shot and bring down this high SHGB for my own sanity .....I can tell its got a hold of my estrogen as I've been wearing the same patch for a few weeks then out of nowhere rage .....volcanic rage just the same as when peri stated.
I did lots of research and the above about the SHGB if hogh like mine can sort of grab on ho my estrogen ....not letting free round Mt body I've been suffering so badly so I need to try this. I hope it works and doesn't give me e tra anxiety or anything but I have to try else il never know xxxx
So last night night sweats..not as bad as in bed sheets siaking but it wa in my chest n legs ...im ajso got alot of anxiety and ging through z withdrawalfrom an antidepressant so could be the stress n anxiety?? But if its cos i stopped yasmin ? What do i do,m as id need to do this znywsy for a bleed....started provera yesterday. What should I do hun? Keep going and wait 4 the SHGB tobcome down as it's 250! I don't know what to do xxx
This is not a thing. The strong progestin in the combined pill stops your uterine lining building up, and women who have been on the pill long term generally have a thin, atrophic lining.
However if you are stopping the pill and continuing with the estradiol patch, you do need to take a progestogen alongside this going forward to control your lining, however provera would not be most people's first choice due to less favourable cardiometabolic effects vs the more modern progestins or micronised progesterone.
Taking combined birth control at the same time as HRT is also likely to have contributed to the raised SHBG, so I would definitely recommend picking one or the other, not both.
However a raised SHBG in itself is a normal response to taking birth control and is not pathological nor needs to be managed, although it can reduce free testosterone which can result in reduced libido and mental health effects.
On the other hand this effect is deliberately sought in women with acne or PCOS who are seeking to reduce their free testosterone, which is why they often prefer pills with an antiandrogenic progestin such as Yasmin.
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If you are now only on the patch and symptomatic I would increase this.
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Bump
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This is not a thing. The strong progestin in the combined pill stops your uterine lining building up, and women who have been on the pill long term generally have a thin, atrophic lining.
However if you are stopping the pill and continuing with the estradiol patch, you do need to take a progestogen alongside this going forward to control your lining, however provera would not be most people's first choice due to less favourable cardiometabolic effects vs the more modern progestins or micronised progesterone.
Taking combined birth control at the same time as HRT is also likely to have contributed to the raised SHBG, so I would definitely recommend picking one or the other, not both.
However a raised SHBG in itself is a normal response to taking birth control and is not pathological nor needs to be managed, although it can reduce free testosterone which can result in reduced libido and mental health effects.
On the other hand this effect is deliberately sought in women with acne or PCOS who are seeking to reduce their free testosterone, which is why they often prefer pills with an antiandrogenic progestin such as Yasmin.
Hi bombsh3ll there's been an update - im not allowed to post so im replying on here.
So im no longer on any contraceptive pill as I rake lorazepam and was tokd be a lady on here it can mess with hormones. I took myself into the drug and alcohol place ....sat with the 2 professionals there tokd them whole story said im not addicted so dont worry but it can mess with the birth control pill......so it all made sense as to why I coukdbt handle any of these pills like cerelle, drovellis, cerazette ...so my only choices are utrogesten which I tried vaginally and has made me feel awful
Or im pinning my hopes on what you said to me ages ago about 5mg provera and ot may do the job .....or 7.5mg by halving another tablet ....to suppress .....please advise bomb you're my only hope here the utrogesten made me so sedated and I'll xxxxxx
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I don't think the individuals who advised you that you cannot take a birth control pill at the same time as benzodiazepines are qualified to give such advice.
Medically there is no reason these two agents cannot be used together, and indeed most legitimate prescribers would much rather see a female patient who is experiencing a mental health crisis on birth control than without it.
I am a very long term user of combined oral contraceptive pills, I have been on various types and currently take Zoely, and I take occasional diazepam without any concern at all for it interacting with my COCP.
Some people need both these treatments to help with separate issues, and that's OK.
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I don't think the individuals who advised you that you cannot take a birth control pill at the same time as benzodiazepines are qualified to give such advice.
Medically there is no reason these two agents cannot be used together, and indeed most legitimate prescribers would much rather see a female patient who is experiencing a mental health crisis on birth control than without it.
I am a very long term user of combined oral contraceptive pills, I have been on various types and currently take Zoely, and I take occasional diazepam without any concern at all for it interacting with my COCP.
Some people need both these treatments to help with separate issues, and that's OK.
Oh ok I didn't know that.
So my other question hs please - is 5mg or even 7.5mg - half another tablet cut up in to half of provera ok to suppress the ovaries? I remember you sent me a message to say 5.g should "do the job" so im just checking xxx
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I don't think the individuals who advised you that you cannot take a birth control pill at the same time as benzodiazepines are qualified to give such advice.
Medically there is no reason these two agents cannot be used together, and indeed most legitimate prescribers would much rather see a female patient who is experiencing a mental health crisis on birth control than without it.
I am a very long term user of combined oral contraceptive pills, I have been on various types and currently take Zoely, and I take occasional diazepam without any concern at all for it interacting with my COCP.
Some people need both these treatments to help with separate issues, and that's OK.
Oh ok I didn't know that. I think its because ive been on it a long time and its just clashed as im going through a withdrwal from an antidepressant from back in Dec which has made my nervous sytem terribly fragile to meds and vitamins.
So my other question hs please - is 5mg or even 7.5mg - half another tablet cut up in to half of provera ok to suppress the ovaries? I remember you sent me a message to say 5.g should "do the job" so im just checking xxx
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5mg of provera may be adequate for ovarian suppression, particularly if used alongside an estrogen.
Some individuals may require more, a ballpark is 5-15mg however I believe very few would need 15mg.
I would always start with the lower end of the dose range, and if it is tolerated but not effective, you can then increase it.
This helps avoid unnecessary overtreatment.
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Thank you so very much xxxxxx