Experiencing withdrawal bleeding after taking Deviry (medroxyprogesterone acetate) is a very positive sign, as it typically indicates you are not pregnant. This bleeding happens because the progesterone levels drop, causing your uterine lining to shed, which generally does not occur if you are pregnant. However, to give yourself complete peace of mind, I highly recommend taking a simple home pregnancy test. Since you have PCOD, tracking your cycles can be tricky, and a quick test is the most reliable way to be absolutely sure.

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Both Deviry (medroxyprogesterone) and Regesteron (norethisterone) are progestins that effectively control heavy bleeding. Generally, norethisterone (Regesteron) is highly effective at quickly stopping heavy bleeding. Neither medication will harm your long-term fertility, as they are cleared from your body quickly once stopped. However, neither should be taken once you are pregnant. Because you are planning to conceive, I gently recommend discussing this with your gynecologist.

When you do not experience a withdrawal bleed after taking medroxyprogesterone acetate (Deviry), it often means your estrogen levels may be low, or there is a temporary hormonal imbalance. Other possibilities include thyroid issues or elevated prolactin levels. Your best next step is to consult your gynecologist. They will likely recommend simple blood tests to check your hormone levels and perhaps a pelvic ultrasound to evaluate your uterine lining.

After finishing a course of Deviry (medroxyprogesterone), it typically takes about 3 to 7 days for bleeding to begin. However, it is quite common and safe for it to take up to 10 to 14 days. Since it has been 9 days, you are still within a normal window. I recommend waiting a few more days. If you haven't started bleeding after 14 days, or if there is any chance of pregnancy, please take a home pregnancy test and reach out to your gynecologist for a quick follow-up.

It is completely understandable to feel concerned when your period is delayed. Since your pregnancy test is negative and your hormones are normal, this delay is likely related to the ovarian cyst or growing follicle seen on your ultrasound. These structures can produce hormones that temporarily delay the withdrawal bleed after taking medroxyprogesterone acetate (Deviry). It can sometimes take up to 14 days after finishing the medication for your period to start. I recommend waiting another 3 to 4 days. If your period still hasn?t arrived by then, please follow up with your gynecologist to discuss the ultrasound findings and next steps.