It is very common to wait 3 to 10 days after finishing your Meprate (medroxyprogesterone acetate) course before your period starts, so please don't worry. Since you want to get pregnant, your missed periods and thyroid level of 3.9 are important clues. While 3.9 is often in the normal range, doctors generally prefer thyroid levels below 2.5 when planning a pregnancy to support healthy ovulation. I recommend taking a pregnancy test if your period doesn't start within 10 days of finishing the medication, and then consulting your doctor. They can easily help optimize your thyroid and cycles to beautifully support your pregnancy journey.

Meprate (medroxyprogesterone) is a progesterone hormone tablet. After an abortion, it is often prescribed to help regulate your menstrual cycle and ensure the uterine lining sheds completely and safely. This helps prevent irregular or heavy bleeding. If you decide not to take it, you might experience irregular spotting, delayed periods, or hormonal imbalances. I highly recommend speaking with your healthcare provider before skipping this medication, as they can guide you based on your body's specific needs.

Since your ultrasound is normal with a very thin lining of 4mm, there is no dangerous buildup inside. Breastfeeding keeps your estrogen levels low, which makes the uterine lining fragile and prone to light, persistent spotting. Because your lining is already so thin, medications like medroxyprogesterone (Meprate), tranexamic acid (Pause MF/Tranexa), or etamsylate (K Stat) may not be effective. This is a very common and harmless postpartum response. I recommend speaking with your doctor about letting your body adjust naturally, as this typically resolves on its own as your breastfeeding routine stabilizes.

Experiencing only light spotting after taking Meprate (medroxyprogesterone acetate) is quite common and generally not a cause for concern, especially for a 14-year-old. At her age, her body's natural hormone levels are still maturing. If her estrogen levels were low or if the small cyst temporarily altered her hormones, the lining of her uterus might have remained thin. A thinner lining naturally results in very light bleeding or spotting rather than a heavy period. This is a very common response to the medication. However, if she experiences severe pain or if you have continued concerns, it is always a good idea to check in with her pediatrician or gynecologist.

Medroxyprogesterone acetate (Meprate) can sometimes cause severe mood changes like depression. Please contact your doctor right away to discuss safer alternatives for your light periods. Taking an emergency contraceptive pill like the i-pill (levonorgestrel) while on Meprate is safe but can cause temporary cycle disruptions, such as irregular spotting or a delayed period. While the i-pill is highly effective at preventing pregnancy, combining these hormones can impact your current bleeding patterns. Your health and emotional well-being are the top priorities, so please reach out to your gynecologist soon to guide you through this safely.

Since pregnancy is ruled out, the most common reason you haven't experienced withdrawal bleeding after taking medroxyprogesterone acetate (Meprate) is low estrogen levels. In PCOS, the uterine lining needs enough estrogen to build up before progesterone can cause it to shed. Other reasons could include a temporary hormonal fluctuation or stress. As a next step, I highly recommend contacting your healthcare provider. They may suggest checking your hormone levels or trying a combined estrogen-progesterone course to help trigger your cycle.