Expert Pharmacy Insights

Provera and the Progestin Withdrawal Bleed: What Bleeding, or Not Bleeding, Actually Tells You

A progestin course to bring on a missed period is a diagnostic test, not just a treatment. Bleeding proves estrogen, a responsive endometrium and an open outflow tract all at once; no bleeding sends the investigation somewhere else entirely. Label doses for medroxyprogesterone and micronized progesterone, the response rates behind them, and why the pregnancy test comes first.