The chance of pregnancy in your situation is extremely low since there was no penetration, and you promptly took the emergency contraceptive pill (i-pill). The bloating you are experiencing is a very common, temporary side effect of the hormonal changes caused by both the emergency pill and Deviry (medroxyprogesterone). It is not a sign of pregnancy. Your next period may be slightly delayed due to these hormonal shifts. If your period is delayed by more than a week, taking a simple home pregnancy test can offer you peace of mind.

Since the bleeding continues and your ultrasound shows an endometrial thickness of 12 mm, the next reassuring step is to look a bit closer at the lining of your uterus. Your doctor will likely recommend an endometrial biopsy, which is a simple, quick in-office procedure to sample the tissue. They might also suggest a hysteroscopy?using a tiny camera to look inside?or a dilation and curettage (D&C). These steps help us find the exact cause, such as a benign polyp.

Taking Deviry (medroxyprogesterone acetate) to delay your period when it is already late is not recommended. First, please take a home pregnancy test to rule out pregnancy, as hormonal medications should be avoided if you might be pregnant. Delaying a period for 20 days is also quite a long time and can lead to irregular spotting or hormonal imbalances. Typically, generic norethisterone is used to delay periods, but because your cycle is already delayed, it is safest to consult your doctor.

Medroxyprogesterone (Deviry) works by mimicking the hormone progesterone; your period (withdrawal bleeding) typically begins 2 to 10 days after you finish the course, not while you are taking it. You should stop the medication after completing your prescribed three-day course. Please do not extend it to five days without your doctor's advice. If your period does not start within 10 days of taking your last pill, please contact your doctor for a follow-up.

Sometimes, this medication can cause only light spotting instead of a typical period, which can be quite common. However, for your peace of mind, taking another pregnancy test is a very reasonable and safe next step. We recommend repeating the test using your first morning urine, about one week after your previous test, for the most accurate result. If it remains negative and you still have concerns, please reach out to your healthcare provider to discuss your cycle.

Deviry-10 contains medroxyprogesterone, a hormone similar to the progesterone naturally produced by the body. When taken starting on day 16 of the menstrual cycle, it helps prepare the lining of the uterus, making it more welcoming for a fertilized egg to attach and grow. While Deviry-10 itself does not cause pregnancy, it creates a supportive environment for a healthy pregnancy and helps regulate her cycle. Please ensure she takes it exactly as her doctor prescribed.