Your friend's severe dizziness is due to her hemoglobin being critically low at 7, meaning her body isn't getting enough oxygen. Since she is vomiting, she cannot absorb her Feroglobin B12 or Deviry (medroxyprogesterone acetate), and dehydration is worsening her symptoms. Three days is also not enough time for these medications to raise her blood levels. Because she cannot keep fluids down and has symptomatic severe anemia, please take her to the nearest emergency room immediately. They can safely administer intravenous fluids, anti-nausea medication, and evaluate her need for a blood transfusion to help her recover quickly.

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.

Since your period is late again after taking Deviry (medroxyprogesterone), I recommend first taking a home pregnancy test if you are sexually active, just to rule that out. After that, it is best to consult your gynecologist. They can safely evaluate your current hormone levels and discuss whether to adjust your management plan or prescribe another course of medication to regulate your cycle.

Since your period has already started, you can generally stop taking the Deviry (medroxyprogesterone acetate). The main purpose of this medication is to trigger your menstrual cycle, so once active bleeding begins, the medicine has done its job. However, because every body is unique, I highly recommend sending a quick message to your doctor to confirm they want you to stop. Please don't worry, as starting your period early is a common response and not a cause for concern.

Bleeding typically starts 3 to 10 days after you finish taking your last dose of Deviry (medroxyprogesterone acetate), rather than during the course. Please give your body a few more days to respond. Your irregular periods and the 10-kilogram weight gain could indeed be linked. Hormonal imbalances, such as Polycystic Ovary Syndrome (PCOS) or thyroid issues, often cause both weight changes and irregular cycles. I highly recommend speaking with your doctor for a hormonal evaluation to help get you some answers and peace of mind.

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.