Since you recently switched from Femilion (desogestrel/ethinyl estradiol) to Deviry (medroxyprogesterone acetate), your body is likely adjusting to these hormonal changes. Sometimes, after stopping Deviry, a withdrawal bleed can take longer than the usual 3 to 10 days, especially if your estrogen levels are currently low or if your uterine lining is thin from the previous medication. Other factors like stress or a potential pregnancy can also cause a delay. Please take a home pregnancy test if you are sexually active, and I highly recommend consulting your gynecologist to safely evaluate your hormone levels and plan the next steps.

Both Primolut N (norethisterone) and Deviry (medroxyprogesterone acetate) can delay your period, but Primolut N is more commonly prescribed for this. To delay your period, you typically start taking the medication three days before your expected period and continue daily until you are ready to bleed; your period should return 2 to 3 days after stopping. However, because you are 40, it is highly recommended to consult your gynecologist before taking these, as hormonal treatments require careful evaluation at this stage of life to ensure they are entirely safe for you.

Deviry (medroxyprogesterone acetate) is a progestin hormone and does not contain hCG, the hormone detected by pregnancy tests. Therefore, the medication itself cannot cause a false-positive result. Since very early pregnancies might not be visible on a pelvic ultrasound yet, and no contraceptive method is entirely foolproof, it is important to investigate further. Your symptoms of bloating and nausea can be side effects of Deviry or signs of early pregnancy. I gently recommend contacting your healthcare provider for a quantitative blood pregnancy test to get clear, accurate answers and ensure your peace of mind.

It is completely normal that you haven't started bleeding yet. Deviry (medroxyprogesterone) works by mimicking progesterone, and your period typically begins 3 to 7 days after you finish the entire 5-day course, though it can sometimes take up to 14 days. Please finish your remaining dose as prescribed. There is no need to worry. Once you finish the last pill, kindly wait for a few days. If you do not start your period within two weeks after completing the medication, or if there is any chance of pregnancy, please take a pregnancy test and consult your healthcare provider for a follow-up.

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.

It is actually quite common for withdrawal bleeding to take up to 14 days after finishing a course of Deviry (medroxyprogesterone). I recommend your friend wait another 3 to 4 days. In the meantime, if there is any chance of pregnancy, taking a simple home pregnancy test is a good first step. If her period does not arrive after 14 days, or if she experiences severe abdominal pain, she should consult her gynecologist. They can gently evaluate her hormone levels and guide her on the next best steps.