For this current cycle, since the follicle study showed the egg was not released and she has started Deviry (medroxyprogesterone), pregnancy is highly unlikely right now. Deviry is prescribed to help reset her cycle by bringing on her period. Once her new cycle begins, it brings a fresh opportunity for her ovaries to release a healthy egg. Having a laparoscopy actually helps improve her overall fertility outlook. There is absolutely still a wonderful chance for her to get pregnant in future cycles. Stay hopeful, and continue to work closely with your fertility specialist.

I understand how frustrating and exhausting continuous bleeding can be, but please be reassured that we can get this managed. Since Pause 500 (tranexamic acid) did not stop the bleeding, switching to Deviry 10 mg (medroxyprogesterone acetate) is a common hormone therapy used to regulate the uterine lining, but it must be prescribed by your doctor. If you do take Deviry, your period will typically start as withdrawal bleeding within 2 to 10 days after you stop taking the medication, rather than on your usual expected date. Please consult your gynecologist for a proper evaluation to ensure this is the safest and most effective plan for you.

Your history of a thickened womb lining and underactive thyroid?for which you take thyroxine?are key factors here. Sometimes, hormonal fluctuations or changes in the womb lining can cause persistent bleeding that doesn't respond to your usual dose. Please don't worry, but do schedule an appointment with your gynecologist. They can evaluate your womb lining with an ultrasound and safely adjust your hormone therapy or suggest an alternative generic progesterone. Please continue taking your thyroid medication as prescribed and consult your doctor for a personalized plan.

Deviry (medroxyprogesterone) helps trigger a one-time withdrawal bleed, but it does not fix the underlying reason your periods are irregular. Since you are not sexually active, pregnancy is not a factor. Irregular cycles are often due to underlying issues like hormonal imbalances, stress, thyroid changes, or weight fluctuations. I highly recommend consulting your gynecologist. They can perform simple hormone tests to identify the root cause and guide you on the best next steps to regulate your cycle safely.

After completing a course of Deviry (medroxyprogesterone), it typically takes about 3 to 10 days for your withdrawal bleed (period) to start. The light spotting you noticed could be an early sign of your body responding to the hormone drop, and your period may still arrive in the next few days. Sometimes, if the uterine lining is thin, you might only experience light spotting. I recommend waiting another 5 to 7 days. If your period does not start by then, please reach out to your gynecologist for a quick check-in.

It is actually very common and completely normal not to have your period or any symptoms six days after finishing Deviry (medroxyprogesterone acetate). Typically, withdrawal bleeding starts anywhere from 3 to 10 days after taking the last tablet, and in some cases, it can take up to two weeks. Since you are on day six, your body is likely just adjusting as the hormone levels drop. I recommend waiting another week. If your period still hasn't started after 14 days, or if there is any chance of pregnancy, please consult your healthcare provider for a gentle evaluation.