Pharmacist Seeks Advice for Inducing a Period Post Pill
Question
I am a pharmacist in Alberta Canada and am hoping you will be able to help me. I have a patient who stopped her Diane 35 birth control (six years of use) pills five months ago and has not experienced a period since. During pill use she experienced regular cycles, and prior to pill use experienced regular cycles.
Her physician prescribed Provera 5 mg tid for five days. As the patient is currently trying to become pregnant I do not feel that this is a safe option and as you state Prometrium is much safer. Prometrium every other month until regular cycles are established would be a great option.
How are you dosing Prometrium when administering for this purpose?
Thank you for your help!
Jaclyn Katelnikof
Answer
Last Updated: May 8, 2022
Dear Ms. Katelnikoff,
For inducing menses I would give Prometrium 200 mg qhs for 7-10 days. You can also use a I.M. progesterone 150-200 mg. If she doesn’t get a period it means she does not have sufficient estrogen to build up a uterine lining, or has another endocrine disorder that needs to be worked up.
Mary Davenport, MD
For inducing menses I would give Prometrium 200 mg qhs for 7-10 days. You can also use a I.M. progesterone 150-200 mg. If she doesn’t get a period it means she does not have sufficient estrogen to build up a uterine lining, or has another endocrine disorder that needs to be worked up.
Mary Davenport, MD
Answered By:
Mary Davenport, MD, MS
Mary Davenport, MD, FACOG, an obstetrician/gynecologist from the Oakland Region of California, offers telehealth services over MyCatholicDoctor.com She graduated from Tufts University School of Medicine and completed her residency at UC San Diego. Dr. Davenport is a Fellow of the American College of Obstetrics and Gynecology, and serves on the Advisory Board of the California Association of Natural Family Planning.
