Hi, A warm welcome to AMD forum. I appreciate your sensible concern towards provera use but I am sure that
your doctor has a valid reason before prescribing Provera. Provera is medroxyprogesterone injection and
usually a third line of treatment for menorrhagia after Intra-Uterine Devices (IUDs),NSAIDs or combined OCPs.
Most common side effects of Provera are menstrual changes such as irregular bleeding or spotting, headache,
weight gain, abdominal pain and hot flushes. However, provera is not to be used or contraindicated in deep
vein thrombosis, pulmonary embolism, and severe disease of the arteries such as stroke or heart attack. But it
doesn’t mean that these contraindications are side-effects of the provera. Therefore, provera can not be the
sole reason of stroke risk although regular smoking could be. Though you are doing regular exercise and quite
diet conscious, but it is essential to quit smoking to prevent yourself from getting any heart diseases. In
addition, I would advise you to consult a gynecologist to evaluate the reasons of menorrhagia. Most common
reason in your case could be pre-menopausal related that is quite natural. Other reasons could be infection,
hormonal imbalance, endometriosis, fibroid and cervical changes. Investigations that can help to evaluate
these conditions will be a pelvic and rectal examination, pap smear, pelvic ultrasound scan and endometrial
biopsy. Treatment will depend upon treating the cause. Hope this information proves helpful to you. You look
pretty healthy in your picture, therefore I would suggest lifestyle modification such as quitting smoking,
regular exercise and take balanced diet to remain the same as your age progresses. Take care & regards.
