Siphene (clomiphene) helps with ovulation, while Deviry (medroxyprogesterone) is meant to regulate your cycle. After finishing Deviry, it can sometimes take up to 10 days for a normal period to start, and light spotting can happen. Since your home pregnancy test is negative, I suggest waiting another 2 to 3 days. If your period still does not start, please take another test and contact your gynecologist. They may recommend a blood test or a quick ultrasound to see what is happening and guide your next steps.

While pregnancy is a possibility and should be ruled out first with a simple home pregnancy test, there are other common reasons for not bleeding. With PCOS, your estrogen levels might be too low to build up the uterine lining, meaning there isn't enough to shed even after taking Deviry (medroxyprogesterone acetate). Please take a pregnancy test to be sure. If it is negative, I recommend reaching out to your doctor, who can help evaluate your hormone levels and guide your next steps.

It is actually quite common for withdrawal bleeding to take up to 14 days after finishing a course of Deviry (medroxyprogesterone). Since your ultrasound was normal, there is no immediate cause for concern. Sometimes, minor hormonal fluctuations or low estrogen levels mean the uterine lining needs a bit more time to shed. I recommend waiting another 4 days. If your period still hasn't started by then, please reach out to your gynecologist for a simple follow-up evaluation to discuss the next steps.

Since you did not ovulate on CCQ 100 (clomifene), the lack of progesterone release is the most likely reason your period is delayed. However, late ovulation can sometimes occur, meaning a very small chance of pregnancy still exists. Before you start Deviry 100 mg (medroxyprogesterone), I highly recommend taking a home pregnancy test or consulting your doctor for a blood test to be absolutely sure. If the test is negative, Deviry will help safely bring on your period.

Dienogest works by thinning your uterine lining. Because of this, when you took Deviry (medroxyprogesterone acetate) to trigger your period, there was very little lining to shed. This frequently results in light spotting instead of a normal menstrual flow. Since your pregnancy test is negative, this confirms the spotting is just a hormonal response to the medications. Your body is simply adjusting. However, if the spotting continues for more than another week or you experience severe pain, please reach out to your gynecologist for peace of mind.

However, because your period is already 42 days late after taking the emergency contraceptive (Ipill), the most important first step is to take a home pregnancy test. Emergency contraceptives can deeply disrupt your cycle. Deviry (medroxyprogesterone) works by mimicking progesterone to keep your uterine lining from shedding; once stopped, it triggers a bleed. Because your cycle is already delayed, using Deviry now requires caution. I highly recommend consulting your doctor before taking it, to ensure it is safe and effective for your body right now.