The bleeding you experienced after taking Deviry (medroxyprogesterone acetate) is a withdrawal bleed, which, along with your negative blood pregnancy test, is a very strong sign that you are not pregnant. Blood pregnancy tests are highly accurate. Emergency contraceptive pills like the i-pill and hormonal treatments like Deviry can temporarily disrupt your natural cycle, leading to irregular or missed periods this month. While pregnancy is highly unlikely, taking a simple home urine pregnancy test can help ease your mind. Please consult your gynecologist to help regulate your cycle.

Using medroxyprogesterone acetate (Deviry) periodically is often medically necessary to protect your uterine health. When cycles are chronically irregular, the uterine lining can overgrow, and this medication safely helps shed that lining. Please be reassured that recurrent use of this medication does not harm your long-term fertility. It only temporarily induces a withdrawal bleed and does not prevent future pregnancy once stopped. However, it is highly recommended to work with your healthcare provider to identify and manage the underlying cause of your irregular cycles for your overall well-being.

Do not restart your medroxyprogesterone acetate (Deviry) regimen without consulting your doctor first. While this medication is effective for regulating periods, taking a previous prescription?especially at a high dose?without a proper evaluation can be unsafe. Irregular cycles can be caused by many different factors, and we want to ensure we treat the root cause safely. Your healthcare provider can perform a quick check to make sure this is still the right dosage and treatment for you right now.

It is completely understandable to feel concerned about highly irregular periods, but please be reassured that we can find the cause. Since Deviry (medroxyprogesterone acetate) is used to induce a bleed, investigating the underlying hormone balance is a great next step. Before your gynecologist visit, it is highly beneficial to get a pelvic ultrasound to look at your ovaries and uterine lining. Additionally, basic blood tests for hormones?specifically Thyroid Stimulating Hormone (TSH), Prolactin, and a panel for PCOS including Follicle-Stimulating Hormone (FSH), Luteinizing Hormone (LH), and testosterone?are very helpful.

It is generally best to wait for your withdrawal bleed to occur after finishing Deviry (medroxyprogesterone acetate) before starting Familon (desogestrel/ethinyl estradiol). A bleed typically starts 2 to 10 days after finishing the medroxyprogesterone acetate. Starting the contraceptive pill before this bleed happens can disrupt your cycle further, often causing unpredictable spotting rather than safely delaying your period. I recommend waiting for your bleed to start or consulting your doctor to safely coordinate your cycle.

It is common to see rising fasting blood sugar even when post-meal levels improve. This often happens because your liver releases stored glucose overnight, or due to hormonal fluctuations, sometimes influenced by medroxyprogesterone (Deviry). Your metformin is working well for meals, but your overnight dosage might need a slight adjustment. Adding Limcee (vitamin C) and Evion 400 (vitamin E) is generally safe, but please note that high doses of vitamin C can occasionally interfere with glucose monitor readings. I gently recommend sharing these blood sugar patterns with your doctor to safely fine-tune your routine.