A failed progesterone test when adhesions or stenosis are suspected usually means there is physical scarring in the uterus or cervix blocking the flow, rather than a hormonal issue. This is a known, treatable complication of a D&C. The standard next step is a hysteroscopy, a minor procedure where a specialist uses a tiny camera to visualize and gently clear any scar tissue or blockages. Afterward, temporary hormonal therapy with estrogen followed by progesterone is often used to help your uterine lining heal and regrow. Please consult your gynecologist.

It is actually quite common for a period to take up to 10 to 14 days to start after finishing medroxyprogesterone (Deviry). Since it has been eight days, your body may just need a little more time. Additionally, stress and weight gain can significantly affect your hormone levels and delay your cycle. I recommend waiting a few more days. If your period does not start by the 14th day, or if there is any chance of pregnancy, please take a home pregnancy test and consult your gynecologist to discuss the next steps.

Taking an emergency contraceptive like i-pill can naturally disrupt your cycle, and medroxyprogesterone acetate (Deviry) is often used to help reset it. Bleeding typically starts within 3 to 10 days after completing your Deviry course. Since your period is still late, the most important first step is to take a home pregnancy test to rule out pregnancy, as emergency contraceptives are not 100% effective. If the test is negative, please wait a few more days, as hormonal changes can cause delays. If it remains negative and your period still doesn't arrive, consult your gynecologist for a personalized evaluation.

Deviry (medroxyprogesterone acetate) works by mimicking the hormone progesterone. Your menstrual bleeding is actually expected to start after you finish the full prescribed course of the medication, typically within 2 to 10 days after taking your last pill. It is very common not to bleed while still actively taking the medicine. Please continue taking it exactly as your doctor prescribed. If your period does not arrive within two weeks of finishing the course, please contact your doctor for a follow-up.

Your ultrasound and thyroid tests are normal, and you responded to the medroxyprogesterone. This shows your body is producing estrogen. Because your periods remain irregular, the next step is usually a simple blood test to check other hormones, including prolactin, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and androgen levels. This helps evaluate for conditions like polycystic ovary syndrome (PCOS). Management often focuses on gentle lifestyle changes to support healthy weight management, which can naturally restore ovulation, or using cyclic progestins or oral contraceptives to keep your cycle regular and protect your uterine health.

Since your urine, blood, and ultrasound tests are all negative, pregnancy is highly unlikely. Deviry (medroxyprogesterone acetate) typically triggers a withdrawal bleed within 3 to 10 days after completing the course. With PCOS, hormonal imbalances can sometimes delay this response slightly. I suggest waiting a full 14 days after your last pill. If your period still has not started by then, please contact your gynecologist. They can easily evaluate your hormone levels and guide your next steps.