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.

Since the initial trial didn't induce menstruation, the next step is typically to check your hormone levels (like estrogen, thyroid, and prolactin) and perform an ultrasound to check your uterine lining. Your doctor may then suggest a combined estrogen and progesterone cycle to help prime your lining and encourage a bleed, or further investigate underlying conditions like PCOS. Please schedule a follow-up with your gynecologist.

Since the bleeding has persisted despite taking medroxyprogesterone acetate (Deviry) and the 21-day course of desogestrel and ethinylestradiol (Femilion), your hormone levels may need further adjustment. It is very important to contact your gynecologist for a follow-up. They can safely evaluate your dosage, investigate other factors of your PCOD, or consider alternative therapies to help regulate your cycle.

Yes, there is still a possibility of pregnancy, so taking a home pregnancy test is the most important next step. Generally, accidental exposure to Deviry (medroxyprogesterone) in early pregnancy carries a low risk of harming the baby, but you should consult your doctor immediately if you are pregnant. If the test is negative, other reasons for a delayed period after taking this medication include hormonal imbalances, high stress, thyroid fluctuations, or conditions like polycystic ovary syndrome (PCOS). Please reach out to your gynecologist for a proper evaluation to help bring you peace of mind.

In this specific cycle, because no dominant follicle developed by day 19, the likelihood of achieving pregnancy is very low, as ovulation is unlikely to occur. However, please don't lose heart. This is a common challenge with PCOD, and it simply means this particular dosage or medication (clomiphene citrate/Siphene) may need adjustment. Your doctor can explore options like increasing the dose, trying letrozole, or adding other treatments while continuing metformin and myo-inositol. This is just a step in your journey, and many women find success with a modified approach.

It is very common to experience back pain, similar to premenstrual cramps, after finishing your course of Deviry (medroxyprogesterone acetate). This happens as your hormone levels drop to trigger your period. You can typically expect your period to start within 3 to 7 days after taking your last tablet, though it can sometimes take up to 10 days. While mild to moderate discomfort is normal, severe or worsening pain is less common. Please try using a warm compress or gentle stretching for relief. If the pain becomes unmanageable or is accompanied by heavy bleeding or fever, it is always a good idea to consult your doctor for a quick evaluation.