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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Trying To Conceive. Low Progesterone Levels. Taking Metformin And Provera. Foul Smell While Urination, Burning In Vagina. Cause?

Hi, I have been TTC for 1 year and 5 months now with no luck. My doctor is an HSG and all of my tubes were open. I have very low progesterone, last test after provera induced menstrual cycle and Clomid on days 3-7 results came back at 0.4; the doctor said anything under 10 for progesterone is considered too low. I am now on Metformin 500mg. I was taking it 2x per day up until last Thursday, now I have been taking it 3x a day going on day 4. I finished provera 10mg for 10 days 8 days ago now and still have no sign of a period? Also, I have been noticing an odd odor during urination and bad cramps in my stomach followed by a burning sensation in my vagina. Any idea what the cause may be? Please help? Thank you!
posted on Wed, 8 May 2013
Twitter Thu, 9 May 2013 Answered on
Twitter Thu, 9 May 2013 Last reviewed on
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OBGYN,  's  Response
Hi,
Thanks for the query.

As you are not getting periods even after progesterone challenge, there is possibility of both estrogen and progesterone deficiency.
So you better consult your doctor and go for combined pills to induce bleeding.
And also there may be some vaginal infection as you are having pain abdomen, burning in the vagina etc.
Get examined to rule out the infection also.
And if there is any signs of infection go for antibiotic therapy.
For more details you can ask me through: http://www.healthcaremagic.com/doctors/dr-sree-gouri-sr/63429
Take care.

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Trying To Conceive. Low Progesterone Levels. Taking Metformin And Provera. Foul Smell While Urination, Burning In Vagina. Cause?

Hi, Thanks for the query. As you are not getting periods even after progesterone challenge, there is possibility of both estrogen and progesterone deficiency. So you better consult your doctor and go for combined pills to induce bleeding. And also there may be some vaginal infection as you are having pain abdomen, burning in the vagina etc. Get examined to rule out the infection also. And if there is any signs of infection go for antibiotic therapy. For more details you can ask me through: http://www.healthcaremagic.com/doctors/dr-sree-gouri-sr/63429 Take care.