After finishing medroxyprogesterone acetate (Deviry), it typically takes 3 to 10 days?and sometimes up to two weeks?for your period to start. Since you are taking iron (Ferium XT) as well, your body is getting the support it needs. Regarding polycystic ovaries (PCO), hormonal imbalances can indeed cause periods to become very irregular or temporarily stop, but they do not stop permanently. Managing PCO can help restore your regular cycle. Please give your body a few more days, and consider consulting your gynecologist if there is still no bleeding after 14 days.

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.

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.

It is generally safe to have an occasional, moderate drink while taking your 5-day course of Deviry (medroxyprogesterone acetate). There is no direct, dangerous interaction between the two. However, I recommend keeping alcohol intake to a minimum. Both alcohol and Deviry can cause mild side effects like dizziness, nausea, or bloating, and combining them might make you feel more uncomfortable. Keeping well-hydrated and letting your body rest during this short course is always a great idea. Please feel free to reach out if you have any other questions.

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What you are experiencing is very common and is likely the beginning of your withdrawal bleed, which acts as your period after taking Deviry (medroxyprogesterone). When you stop this medication, your hormone levels drop, triggering your uterine lining to shed. This often starts as light brown spotting, accompanied by mild stomach and back discomfort as your uterus contracts. This shows the medication is working as intended. However, if your pain becomes severe, or if the spotting does not progress to a normal flow within a few days, please contact your doctor.