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You're asking what to do because your period hasn't started one week after finishing estradiol and medroxyprogesterone.
โ๏ธ What this likely is
- With 7 days of estradiol (estradiol) followed by 14 days of medroxyprogesterone (a progestin), a withdrawal bleed commonly occurs but can be delayed; a short estrogen course sometimes fails to โprimeโ the lining, producing no or late bleeding.
- Other reasonable possibilities: pregnancy (if sexually active) or underlying anovulation/ hormonal issues (e.g., thyroid, polycystic ovary syndrome).
๐ฅ What to do now
- Do a urine pregnancy test now if there was any chance of pregnancy.
- Wait an additional 7 days โ many withdrawal bleeds appear within 2 weeks of stopping progestin.
- If still no bleeding after 2 weeks, see a gynecologist for evaluation; they may repeat pregnancy testing and consider pelvic exam and basic labs (thyroid, prolactin) or adjust hormones.
- Bring the exact medication names/doses and the dates you took them when you see the doctor.
โ ๏ธ Warning signs โ seek urgent care
- Heavy bleeding (soaking >1 pad/hour), severe abdominal pain, fainting, or fever โ go to the emergency department.
๐ฉบ Follow-up
- Were you sexually active without reliable contraception during treatment?
- What was the reason for this hormone course (bleeding control vs. HRT vs. contraception)?
- What is your usual cycle length and date of last period before treatment?