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, your bleed will start within 2 to 7 days after your last dose, as your hormone levels drop. The mild cramping you are feeling is a very common sign that your period may be on its way. Since it has only been two days since your last dose, a negative pregnancy test is reassuring, but it might still be slightly early. I suggest waiting another 3 to 5 days. If your period still hasn't arrived by then, please take another pregnancy test or consult your healthcare provider. Rest assured, this delay is a normal response to the medication.

Duphaston (dydrogesterone) is a progesterone hormone that can definitely cause symptoms like bloating, cramping, and dizziness, and it frequently delays your period. While a negative pregnancy test at 12 days post-ovulation is quite reliable, it is still possible to be pregnant if ovulation or implantation occurred slightly later than expected. Since you are now 17 days post-ovulation, I gently recommend taking another home pregnancy test today for a definitive result. Please consult your doctor to discuss these symptoms and get guidance on your next steps.

While normal hormone tests are reassuring, light periods and brown spotting can sometimes point to subtle hormonal fluctuations or uterine lining variations. It is also possible to have other undetected fertility factors, such as tubal issues or partner-related factors, which standard hormone blood tests do not detect. I highly recommend discussing a comprehensive fertility evaluation, including a pelvic ultrasound, with your doctor to give you clearer answers.

Since you stopped taking Duphaston (dydrogesterone) four days ago, you can generally expect your period to start within 3 to 7 days, though it can sometimes take up to two weeks for your body to adjust. The negative pregnancy test 16 days after ovulation is a very reliable indicator that you are not pregnant. Your body is just taking a little time to respond to the drop in hormone levels after stopping the medication. Take a deep breath, try to relax, and if your period doesn't arrive within 10 days, please reach out to your healthcare provider.

After a miscarriage and D&C procedure, it may take some time for the body and menstrual cycle to return to normal, so not becoming pregnant again within 4 months does not always mean there is a serious problem. In many women, conception can naturally take several months even after a healthy recovery. Possible reasons for difficulty conceiving may include irregular ovulation, hormonal imbalance, stress, thyroid problems, anaemia, polycystic ovary syndrome (PCOS), low egg quality, infection, or, rarely, scar tissue inside the uterus after a D&C. It is also important to evaluate the male partner if pregnancy is delayed. You should maintain a healthy diet, adequate sleep, regular exercise, and avoid smoking or alcohol if applicable. Tracking ovulation and having regular intercourse during the fertile period may improve chances of conception. Your gynaecologist may advise tests such as thyroid profile, hormone tests, an ultrasound scan, an ovulation assessment, blood sugar tests, and sometimes a test to check whether the fallopian tubes are open. In certain cases, further evaluation of the uterus may be needed to rule out adhesions or scarring after the procedure. Most women are able to conceive successfully after a miscarriage and D&C with proper follow-up and treatment if needed, so try not to lose hope and continue regular consultation with your doctor.