Since your thyroid is normal, it is safest to wait another week and repeat the home pregnancy test using your first morning urine, as ovulation might have occurred later than usual. You should avoid taking Deviry (medroxyprogesterone acetate) until you have confirmed with your healthcare provider that you are definitely not pregnant. Medroxyprogesterone acetate is used to induce a period, but ruling out pregnancy first is essential.

After completing a course of Deviry (medroxyprogesterone), it typically takes about 3 to 10 days for your withdrawal bleed (period) to start. The light spotting you noticed could be an early sign of your body responding to the hormone drop, and your period may still arrive in the next few days. Sometimes, if the uterine lining is thin, you might only experience light spotting. I recommend waiting another 5 to 7 days. If your period does not start by then, please reach out to your gynecologist for a quick check-in.

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.

After finishing Deviry (medroxyprogesterone acetate), it typically takes about 3 to 10 days?and sometimes up to two weeks?for your bleed to start. Since it has been eight days, your body might just need a little more time. I recommend waiting another 4 to 5 days. If your period still hasn't started by then, please take a home pregnancy test if there is any chance of pregnancy, and consult your gynecologist. They can help evaluate your hormone levels and determine the next steps to get your cycle back on track.

It is very common to experience a lighter flow or a minimal withdrawal bleed after taking Deviry (medroxyprogesterone). This happens because the medication thins the uterine lining. In most cases, it is completely safe to wait and observe how your body responds during your next natural cycle. However, to be safe, I recommend taking a home pregnancy test first, as light bleeding can sometimes occur during early pregnancy. If the test is negative, you can comfortably wait for your next period. If your next cycle is also unusual, or if you experience any pain, please reach out to your doctor for a routine follow-up.

It is actually very common not to bleed immediately after finishing Deviry (medroxyprogesterone). Withdrawal bleeding typically starts anywhere from 3 to 10 days after completing the course, so being four days post-treatment is completely normal. Since your last test was negative, pregnancy is unlikely, but taking another test in a few days is a safe and reassuring step. If you do not start bleeding within 10 days of finishing the medication, please reach out to your gynecologist to discuss next steps.