Treatment FAQ

what treatment options are there when provara fails

by Alexie Leannon Sr. Published 3 years ago Updated 2 years ago

What conditions does Provera treat?

What Conditions does PROVERA Treat? 1 test for the presence of estrogen in the body 2 polycystic ovarian syndrome, a disease with cysts in the ovaries 3 prevention of abnormal growth in cells of uterine lining 4 cessation of menstruation 5 abnormal uterine bleeding from imbalance of hormones 6 post-menopausal symptoms

What is the Provera challenge?

tool is the “Provera challenge.” Your doctor will give you a prescription for Provera … a synthetic version of progesterone. In a normal menstrual cycle, progesterone rises after ovulation to prepare the uterus for a fertilized egg. If no pregnancy occurs, progesterone drops and a period ensues.

What are the risks of Provera?

Provera will not prevent heart disease, breast cancer, or dementia, and may actually increase the risk of developing these conditions in post-menopausal women. This medicine may also increase the risk of uterine or ovarian cancer in some women.

What should I avoid while taking Provera?

Avoid smoking while you are taking Provera. Smoking greatly increases your risk of blood clots. This medicine can pass into body fluids (urine, feces, vomit). Caregivers should wear rubber gloves while cleaning up a patient's body fluids, handling contaminated trash or laundry or changing diapers.

What happens if immunotherapy doesnt work?

Even if immunotherapy no longer works, you have options. You might be able to try other cancer treatments. Or your doctors can give you medicines and other therapies to ease your symptoms so you feel better. Take this time to spend with family and friends, and do the things you love.

What happens if radiotherapy doesnt work?

If radiotherapy doesn't kill all of the cancer cells, they will regrow at some point in the future. We have more information about radiotherapy treatment. Some immunotherapies or targeted cancer drugs may get rid of a cancer completely. Others may shrink the cancer or control it for some months or years.

What is the best treatment for congestive heart failure?

Medicines are the main treatment for heart failure, but for some people surgery may help. Operations that can help with heart failure include: heart valve surgery. a coronary angioplasty or bypass.

What can I take instead of estradiol?

Soy to the World The most widely cited natural remedy is soy, which is very high in phytoestrogens, or plant estrogens. Other sources are red clover and flaxseed, both of which are available as supplements.

Can you have radiotherapy twice?

Radiation therapy is a wonderful tool used to treat and often cure many cancers when the cancer is localized to one place in the body. In select cases, radiation therapy can be used a second time in the same patient. If cancer is being treated in a different area of the body, this is an easy question.

How many times can you have radiotherapy?

Most people have 5 treatments each week (1 treatment a day from Monday to Friday, with a break at the weekend). But sometimes treatment may be given more than once a day or over the weekend.

What is the life expectancy of someone with congestive heart failure?

The life expectancy for congestive heart failure depends on the cause of heart failure, its severity, and other underlying medical conditions. In general, about half of all people diagnosed with congestive heart failure will survive five years. About 30% will survive for 10 years.

Is surgery an option for congestive heart failure?

Surgical procedures are used to treat heart failure. They may also be used to treat or improve other heart conditions that contribute to your heart failure.

Can you reverse congestive heart failure?

It is possible to reverse congestive heart failure. Once the condition of your heart is assessed, the physician will take further steps to treat your congestive heart failure and start appropriate treatment.

Which is better Premarin or estradiol?

Is Estrace or Premarin more effective? Studies show that when comparing estrogen products, estradiol (the ingredient in Estrace) and conjugated estrogens (the ingredient in Premarin) are equally effective in treating menopause symptoms. Vaginal creams are effective and well-tolerated.

How long can you stay on estradiol?

Five years or less is usually the recommended duration of use for this combined treatment, but the length of time can be individualized for each woman.

Which is better Premarin or Vagifem?

Premarin vaginal cream (conjugated estrogens) has less side-effects than estrogen pills, but only works for localized symptoms of menopause. Vagifem (Estradiol Vaginal Tablet) relieves vaginal dryness and irritation to make sex more enjoyable.

Before Taking This Medicine

Provera can cause birth defects. Do not use if this medicine you are pregnant. Tell your doctor right away if you become pregnant during treatment....

How Should I Take Provera?

Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.Provera is...

What Happens If I Miss A Dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to...

What Should I Avoid While Taking Provera?

Avoid smoking while you are taking this medicine. Smoking greatly increases your risk of blood clots.This medicine can pass into body fluids (urine...

What Other Drugs Will Affect Provera?

Other drugs may interact with medroxyprogesterone, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each...

How to get more information about Provera?

You can ask for information about Provera that is written for health professionals. You can get more information by calling the toll-free number, 1-800-438-1985.

What is Provera used for?

Provera tablets are indicated for the treatment of secondary amenorrhea and abnormal uterine bleeding due to hormonal imbalance in the absence of organic pathology, such as fibroids or uterine cancer. They are also indicated for use in the prevention of endometrial hyperplasia in nonhysterectomized postmenopausal women who are receiving daily oral conjugated estrogens 0.625 mg tablets.

How long does Provera last?

Secondary Amenorrhea. Provera tablets may be given in dosages of 5 or 10 mg daily for 5 to 10 days. A dose for inducing an optimum secretory transformation of an endometrium that has been adequately primed with either endogenous or exogenous estrogen is 10 mg of Provera daily for 10 days.

Is estrogen plus progestin stopped early?

The WHI estrogen plus progestin substudy was stopped early. According to the predefined stopping rule, after an average follow-up of 5.6 years of treatment, the increased risk of invasive breast cancer and cardiovascular events exceeded the specified benefits included in the "global index.".

Is Provera a molecule?

Provera ® tablets contain medroxyprogesterone acetate , which is a derivative of progesterone. It is a white to off-white, odorless crystalline powder, stable in air, melting between 200 and 210°C. It is freely soluble in chloroform, soluble in acetone and in dioxane, sparingly soluble in alcohol and in methanol, slightly soluble in ether, and insoluble in water.

Can progestin be used for dementia?

Cardiovascular Disorders and Probable Dementia. Estrogen plus progestin therapy should not be used for the prevention of cardiovascular disease or dementia. (See CLINICAL STUDIES and WARNINGS, Cardiovascular Disorders and Probable Dementia .)

Can Provera be taken with breast milk?

The hormone in Provera can pass into your breast milk. Tell your healthcare provider about all the medicines you take including prescription and nonprescription medicines, vitamins, and herbal supplements. Some medicines may affect how Provera works. Provera may also affect how other medicines work.

What to do if PSA is rising?

If the PSA is rising quickly enough to warrant treatment , but localized treatments (such as surgery, radiation therapy, or cryotherapy) aren’t likely to be helpful, hormone therapy is often the next option. If one type of hormone therapy isn’t helpful, another can be tried (see castrate-resistant prostate cancer, below).

What is the best treatment for cancer?

For cancers that are no longer responding to initial hormone therapy and are causing symptoms, several options might be available. Chemotherapy with the drug docetaxel (Taxotere) is often the first choice because it has been shown to help men live longer, as well as to reduce pain.

Does LHRH stop working?

But it isn’t likely to cure the cancer, and at some point it might stop working. Usually the first treatment is a luteinizing hormone-releasing hormone ( LHRH) agonist, LHRH antagonist, or orchiectomy, sometimes along with an anti-androgen drug or abiraterone.

What is the Provera challenge?

tool is the “Provera challenge.”. Your doctor will give you a prescription. for Provera … a synthetic version of progesterone. In a normal menstrual cycle, progesterone rises after ovulation to prepare the uterus for a fertilized egg . If no pregnancy occurs, progesterone drops and a period ensues.

How long does it take to bleed after taking Provera?

Here is some additional data I didn’t put in the book. 86 women responded with the amount of time it took them to bleed after their Provera challenge: 1 The median time to response was three days after the last pill (meaning half responded within three days, the other half three days or later) 2 95% bled by five days after the last pill 3 All but one responded by eight days after the last pill

Can you bleed with Provera?

As I stated, it is common to do the Provera challenge as you work toward a diagnosis. If you do not bleed and have ruled out physical issues preventing a bleed, then this can solidify the diagnosis of HA. If you do bleed, this isn’t particularly helpful for diagnosis, but likely means that if you do have HA, it’s on the milder side.

Does Provera challenge cause ovulation?

What the Provera challenge can not and does not do is “jumpstart” a natural cycle. This is because in a normal menstrual cycle progesterone is a “downstream” hormone – the *result* of ovulation. It’s not one of the hormones that *causes* ovulation. So even if you bleed from the outside progesterone, it does nothing to change your natural hormones ...

What is the best treatment for enlarged prostate?

Prostate enucleation is an effective treatment option for men regardless of prostate size. HOLEP is a prostate enucleation procedure performed with a holmium laser. Prostatic artery embolization can also be performed and may be effective for some men. Aquablation for BPH with AquaBeam is another new option for some men with an enlarged prostate who ...

Can enlarged prostate be treated?

Fortunately, most treatment options used for the treatment of enlarged prostate remain available. The choice of treatment depends on full evaluation, the severity of the blockage, and patient preferences.

Can you repeat a rezum?

While repeating REZUM is an option, typically repeating the same procedure will not lead to dramatically improved results. If REZUM failed to deliver once, it is typically a sign that it is unlikely to perform dramatically better if repeated.

Does a rezum procedure help with enlarged prostate?

Surgical Treatment Options for Enlarged Prostate if REZUM procedure does not help. Surgical treatment options typically provide the most relief of symptoms. While open or robotic suprapubic prostatectomy typically provides the best improvement of symptoms, it is a more invasive procedure with a longer recovery.

How long does it take for Provera to work?

In this test, 10 mg of Provera is often given over 7-10 days and bleeding is expected within 2 weeks after the last pill.

How much Premarin should I take for amenorrhea?

A course of 2.5 mg of Premarin for 21 days including 10 mg of Provera on days 17-21 will be adequate. If bleeding with a normal FSH occurs after estrogen/progesterone, then the amenorrhea is likely due to low estrogen.

What if you don't bleed after hormonal treatment?

For women who do not bleed after the combined hormonal regimen, the next step is either hysterosalpingography or hysteroscopy.

How to prevent psoriasis from getting worse?

A controlled amount of sunlight can improve psoriasis, but too much sun can trigger or worsen outbreaks and increase the risk of skin cancer. Log your time in the sun, and protect skin that isn't affected by psoriasis with sunscreen with a sun protection factor (SPF) of at least 30. Apply medicated cream or ointment.

How to treat psoriasis?

Options include creams and ointments (topical therapy), light therapy (phototherapy), and oral or injected medication. Which treatments you use depends on how severe the psoriasis is and how responsive it has been to previous treatment.

How do psoriasis drugs work?

These drugs, usually administered by injection, alter the immune system in a way that disrupts the disease cycle and improves symptoms and signs of disease within weeks. Several of these drugs are approved for the treatment of moderate to severe psoriasis in people who haven't responded to first-line therapies.

How to cover up psoriasis?

On those days when you feel particularly self-conscious, cover the psoriasis with clothing or use cosmetic cover-up products, such as body makeup or a concealer. These products can mask redness and psoriasis plaques.

How to treat psoriasis with fish oil?

Applying fish oil to the affected skin and covering it with a dressing for six hours a day for four weeks might improve scaling. Oregon grape. Also known as barberry, this product is applied to the skin and may reduce the severity of psoriasis. Essential oils.

What does a doctor do for psoriasis?

Your doctor might take a small sample of skin (biopsy) for examination under a microscope. This helps determine the type of psoriasis and rule out other disorders.

What is the best ointment for a sensitive face?

They are available as ointments, creams, lotions, gels, foams, sprays and shampoos. Mild corticosteroid ointments (hydrocortisone) are usually recommended for sensitive areas, such as your face or skin folds, and for treating widespread patches.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9