It is actually quite common for bleeding to take a little longer to start after finishing Deviry (medroxyprogesterone acetate). While many women experience bleeding within 3 to 7 days, it can sometimes take up to 10 to 14 days for your hormone levels to drop enough to trigger a period. Since it has been 8 days, please try not to worry just yet. I recommend waiting another 3 to 4 days. If your period still hasn't started by then, or if there is any chance of pregnancy, please take a home pregnancy test and consult your doctor for a checkup.

This spotting is often the expected withdrawal bleed, which acts as your period. Since your home pregnancy tests are negative, it is highly likely you are not pregnant. Home tests are very reliable when taken correctly, but for absolute peace of mind, you can visit a healthcare provider for a quantitative blood pregnancy test. Your body is just responding to the hormone changes.

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 finishing your course of Deviry (medroxyprogesterone acetate), you can generally expect withdrawal bleeding to start within 3 to 7 days, though it can sometimes take up to two weeks. This medication helps reset your uterine lining. While it is excellent for stopping prolonged bleeding and bringing on this initial bleed, whether your subsequent cycles remain regular depends on the underlying cause of the imbalance. If your cycles continue to be irregular after this, your doctor can help you find a lasting solution.

Yes, there is still a risk of pregnancy, especially since her cycle is currently irregular. Before starting Femilon (desogestrel/ethinylestradiol), your wife should take a pregnancy test 14 to 21 days after taking the i-pill (levonorgestrel) to ensure she isn't pregnant. Once pregnancy is ruled out, she can safely start Femilon, ideally on the first day of her next period. Please use barrier methods like condoms if you have sex before she starts the pills, and for the first seven days of taking Femilon, to stay fully protected.

There is no direct, dangerous interaction between alcohol and your prescribed medroxyprogesterone acetate (Deviry). However, I gently recommend limiting or avoiding alcohol during your 12-day course. Alcohol can sometimes worsen medication side effects like dizziness, bloating, or mood changes. Additionally, for PCOD management, keeping alcohol intake low helps maintain stable hormone levels and overall wellness. Taking a brief break from alcohol will help your body respond best to the treatment. Please feel reassured, and do reach out to your doctor if you have any further concerns.