Yes, repeating these tests is highly beneficial to monitor your progress. For the prolactin test, it is best done in the morning after fasting, about 2 to 3 hours after waking up, as prolactin levels naturally fluctuate. A pelvic ultrasound is most accurate when performed just after your period ends (typically days 5 to 10 of your cycle), when the uterine lining is thinnest. Please consult your doctor to schedule these safely.

Typically, a withdrawal bleed occurs within 3 to 10 days after finishing medroxyprogesterone acetate (Meprate). A 20-day delay is indeed long, and your elevated TSH level of 9.6 (indicating an underactive thyroid) is very likely contributing to this. Thyroid hormones play a crucial role in regulating your menstrual cycle, and an imbalance can easily delay your period. Additionally, please take a home pregnancy test if there is any chance of pregnancy, as this is a common first step. I gently recommend discussing these results with your doctor to help balance your thyroid levels and restore your regular cycle.

One-time course, it will not cause unwanted hair growth, damage your uterus, or affect your future pregnancy plans. In fact, it temporarily helps protect the uterine lining and will not increase your risk of cancer. It simply acts as a gentle reset for your body. You can safely take this medication as prescribed by your doctor.

After finishing a course of Meprate (medroxyprogesterone), it is very common for your period to take some time to start. Typically, withdrawal bleeding begins within 3 to 7 days after the last pill, but it can sometimes take up to 10 to 14 days. Since your pregnancy test was negative, this delay is likely just your body adjusting to the hormone levels. I recommend waiting another week. If your period still hasn't started by then, please reach out to your doctor for a gentle evaluation.

Your body is currently adjusting to two major changes: the recent removal of your copper IUD, which can temporarily sensitize the uterine lining, and starting medroxyprogesterone acetate (Meprate). This hormonal medication works to stabilize your uterine lining, but it often takes a few weeks or even a couple of cycles for your body to fully adapt, during which light breakthrough bleeding or spotting is normal. I recommend keeping a brief log of these symptoms and sharing them with your doctor at your next visit to ensure everything is settling down as expected.

Meprate contains medroxyprogesterone, a hormone similar to the progesterone your body naturally produces. Even with regular cycles, painful periods and vomiting are often driven by an imbalance or sensitivity to prostaglandins?chemicals that cause the uterus to contract violently. By starting Meprate on the 15th day of your cycle, your doctor is helping to stabilize your uterine lining and reduce these intense contractions, which should ease both the pain and the nausea.