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.

It is actually quite common to experience light bleeding or spotting while taking Deviry (medroxyprogesterone acetate) or shortly after finishing your course. This medication alters your hormone levels to help regulate your cycle, and your body is simply adjusting to these changes. Since you took it three times a day, your hormone levels might be fluctuating, causing this temporary light bleeding. Please don't worry, as this is a frequent and expected side effect. However, if the bleeding becomes very heavy, is accompanied by severe pain, or continues for more than a few days, it is always a good idea to check in with your doctor.

Typically, after completing a course of Deviry (medroxyprogesterone acetate), you can expect your period to start within 3 to 7 days. However, it can sometimes take up to 10 to 14 days for the bleeding to begin. Try to relax, as stress can also delay your cycle. If your period does not start after two weeks, or if you suspect you might be pregnant, please consult your doctor for a quick evaluation.

While withdrawal bleeding typically starts 3 to 7 days after finishing medroxyprogesterone acetate (Deviry), it can sometimes take up to 14 days for your body to respond. Since your pregnancy test is currently negative, that is very reassuring. However, if your unprotected sex occurred recently, it might still be too early for an accurate reading. I recommend repeating a home pregnancy test in a few days using your first morning urine. If your period does not start within 14 days of finishing the medication, please gently consult your gynecologist to discuss the next steps.

Since your pregnancy test was negative, an incomplete miscarriage is unlikely, though hormonal shifts?especially after taking medroxyprogesterone (Deviry)?or conditions like ovarian cysts could cause these symptoms. For temporary relief, applying a warm compress to your lower abdomen or taking over-the-counter pain relievers like ibuprofen can help. However, because your pain is severe and accompanied by blood clots, it is very important to consult a healthcare provider for an evaluation and pelvic ultrasound.

It is actually quite common to experience only light spotting rather than a full period after finishing medroxyprogesterone (Deviry). Typically, a withdrawal bleed occurs within 3 to 10 days of completing the course, but the flow can vary depending on the thickness of your uterine lining. Please rest assured that this is a normal variation. However, if there is any chance of pregnancy, I recommend taking a quick home test just to be sure. If your full period doesn't start in another few days, or if you have any other concerns, consult your doctor.