Since you have already ruled out pregnancy and other concerns, using medroxyprogesterone acetate (Deviry) is generally a safe option to help induce a bleed. However, because the previous course of norethisterone (Sysron NCR) did not trigger a period, it is possible your body's estrogen levels are currently too low to build up the uterine lining. While medroxyprogesterone is safe, it may not be fully effective if estrogen is low. I highly recommend discussing this with your gynecologist, who can check your hormone levels and safely guide your next steps.

A 43 mm thin-walled clear cyst is very common, typically benign, and often resolves on its own. Your mild symptoms and brown discharge are likely related to this hormonal imbalance. Since you did not experience withdrawal bleeding after medroxyprogesterone acetate (Deviry), the next steps should include a pregnancy test to rule that out, followed by blood tests to check hormone levels (like thyroid, prolactin, or estrogen). Your doctor will likely recommend a repeat ultrasound in 6 to 8 weeks to monitor the cyst. Please share these results with your gynecologist to discuss the best path forward.

After completing your 13-day course of Deviry (medroxyprogesterone acetate), you can expect your period to return within 3 to 10 days. This is a withdrawal bleed and is a normal response as hormone levels drop. While it helps regulate your cycle, this first period might be slightly heavier, lighter, or occur a few days later than your usual cycle as your body adjusts. This is generally nothing to worry about. If your period does not start within 14 days of finishing the medication, or if the bleeding is exceptionally heavy, please consult your doctor for a quick checkup.

In this specific cycle, because no dominant follicle developed by day 19, the likelihood of achieving pregnancy is very low, as ovulation is unlikely to occur. However, please don't lose heart. This is a common challenge with PCOD, and it simply means this particular dosage or medication (clomiphene citrate/Siphene) may need adjustment. Your doctor can explore options like increasing the dose, trying letrozole, or adding other treatments while continuing metformin and myo-inositol. This is just a step in your journey, and many women find success with a modified approach.

After stopping medroxyprogesterone acetate (Deviry), a withdrawal bleed usually starts within 3 to 10 days, but it can sometimes take up to two weeks. The light spotting you are experiencing might be the beginning of your flow, or your hormone levels may just need a little more time to adjust. First, please take a home pregnancy test to rule out pregnancy. If the test is negative and your full period does not start within the next four days, please consult your gynecologist for a gentle evaluation to see what the next steps should be.

After completing a course of Deviry (medroxyprogesterone acetate), it typically takes about 3 to 10 days?and sometimes up to two weeks?for your period to start. Since your pregnancy and thyroid tests are normal, other factors like temporary hormonal imbalances or low estrogen levels might be delaying the bleed. Please give your body a few more days. If your period does not arrive within two weeks of finishing the medication, gently reach back out to your doctor for a simple follow-up evaluation.