After finishing a course of dydrogesterone (Duphaston) to regulate a long period, your body's natural hormones can sometimes take a little time to find their balance again. As a reassuring first step, taking a home pregnancy test is a helpful way to rule that out. Since it has been over two months, the best next step is to schedule a gentle check-up with a doctor or gynecologist. They can run some simple hormone tests to help safely guide your cycle back on track.

The combination of dydrogesterone (Duphaston), progesterone (Susten), and human chorionic gonadotropin (Fertigyn) injections is a standard and effective regimen to support early pregnancy and help prevent miscarriage. Mild vaginal spotting at five weeks can be common as your body adjusts, and hormone injections can sometimes cause minor spotting due to increased blood flow to the cervix. While this is often harmless, please contact your obstetrician promptly to get checked, as keeping them informed is always the safest step.

Typically, after finishing a five-day course of Duphaston (dydrogesterone), your withdrawal bleed should start within 3 to 7 days, though it can sometimes take up to two weeks. If it is delayed beyond 14 days, common reasons include pregnancy, stress, or minor hormonal variations. Please try not to worry. I gently recommend taking a home pregnancy test if applicable, and reaching out to your doctor if your period doesn't arrive within two weeks so they can safely guide your next steps.

It is not uncommon to experience mild stomach discomfort or a burning sensation after completing your course of Duphaston (dydrogesterone), as hormonal fluctuations can sometimes irritate the stomach lining or cause mild acid reflux. This is typically temporary and should resolve on its own. In the meantime, try eating smaller, bland meals and avoiding spicy foods to help soothe your stomach. However, if the burning is severe, persists for more than a few days, or is accompanied by intense pain, please contact your doctor for a quick evaluation to ensure everything is okay.

A four-day delay after finishing Duphaston (dydrogesterone) is actually quite common, as it can take up to 7 to 10 days for your period to start after your last dose. Since you had ovulation induction with three ruptured follicles, this delay could certainly indicate pregnancy. I highly recommend taking a home pregnancy test. While you have a 2 cm left ovarian chocolate cyst, its small size is unlikely to cause this sudden delay. Consider consulting your doctor for a blood pregnancy test to get a clear answer.

It is very common to feel a bit anxious when your cycle doesn't go exactly as expected. Typically, Duphaston (dydrogesterone) is prescribed for 3 to 6 cycles to help regulate periods. After finishing a treatment cycle, your period should start within 3 to 10 days. A slight delay after your second cycle can be normal as your body adjusts to the hormone. However, since a delay can also indicate pregnancy, I gently suggest taking a home pregnancy test. If it is negative and your period is delayed by more than two weeks, please consult your doctor to discuss your next steps.