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Wednesday, January 11, 2006

Getting pregnant after Depo Provera

Dr. Amy,

I've been on depo-provera for 5 years now, but I stopped Oct., '05 because my husband & I want to have a baby, I'm 34 so I'm not getting any younger (ha!). My doctor told me it can take awhile to get my menstrual cycle back, but it may end up where he needs to "jump start" it. Now that I've been off the shot for awhile, I've noticed changes with my body as far as cravings, exhaustion and the past two days my nipples have been extremely sore. Is this my body getting back to "normal", it's almost like I'm having symptoms of a menstrual cycle, but w/out the bleeding. I also wondered if it was possible to get pregnant even though I'm not ovulating or having my period? Since I wasn't sure, I went ahead and took a pregnancy test about 3 or 4 weeks ago just to be safe and it was negative. My doctor told me that if I was to get pregnant right now or after my first period, I would have a greater chance of having a miscarriage since I haven't ovulated in so long. I'd like to know your thoughts on all of this. Thanks so much!!

Robin

Dear Robin,

It can take from 6 months to a year for your periods to return to normal after stopping Depo Provera.

You cannot get pregnant if you are not ovulating, but you will ovulate for the first time 2 weeks before you get your first period. Therefore, it is possible to get pregnant before your period returns (but only if you have sex approximately 2 weeks before your period would have returned).

I am not aware of any increased risk of miscarriage if you get pregnant before getting your first period or in the cycle thereafter. The risk should be exactly the same as if you get pregnant at any other time.

Sincerely,
Amy

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