After finishing a course of Deviry (medroxyprogesterone), it typically takes about 3 to 10 days?and sometimes up to two weeks?for your period to start. Since it has only been four days, your body is still adjusting to the hormone drop. I recommend waiting a few more days. If your period does not start within 10 to 14 days after your last pill, or if there is any chance of pregnancy, it would be wise to take a home pregnancy test and consult your doctor for a follow-up.

While withdrawal bleeding usually occurs within 3 to 10 days after finishing Deviry (medroxyprogesterone acetate), a delay of 20 days can happen. Since your pregnancy test is negative, other common reasons include low estrogen levels?meaning the uterine lining didn't build up enough to shed?stress, or underlying hormonal imbalances like thyroid issues. I highly recommend scheduling a visit with your gynecologist. They can gently evaluate your hormone levels or perform a simple ultrasound to help determine the best next steps for you.

Please rest assured that with negative urine and blood pregnancy tests, you are almost certainly not pregnant. The i-pill contains a high dose of hormones that can significantly disrupt your natural cycle, causing your period to be late. This is a very common side effect and does not mean something is wrong with your body. Your doctor prescribed Deviry (medroxyprogesterone acetate) to help reset your cycle. It is normal for your period to start a few days to a week after you finish the Deviry course. Try to relax, as stress can further delay your cycle, and complete the medication as directed.

Deviry (medroxyprogesterone) is prescribed to help restart your period, but sometimes a withdrawal bleed doesn't happen if your estrogen levels are low or if the uterine lining is quite thin. Other factors, such as stress, thyroid changes, or hormonal imbalances, can also delay your cycle. Since it has been two months, the best next step is to consult your gynecologist. They can run simple hormone tests or perform an ultrasound to find the exact cause and safely guide your next steps.

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.

It is very possible that your vaginal itching is related to these medications. Both Deviry (medroxyprogesterone) and Nogestol are hormonal treatments. Changes in your hormone levels can alter the natural pH balance and moisture of your vagina. This shift can sometimes trigger a mild yeast infection, which commonly causes itching and discomfort. Please be reassured that this is a very common and highly treatable reaction. I recommend speaking with your healthcare provider so they can evaluate the itching, confirm if it is a yeast infection, and provide a safe, effective treatment to make you comfortable.