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Progestin-Only Injectables
Time:2011/12/11 1:21:11          Click:3511          Source:zizhu-pharmFont Size:  

 

Key Points

Bleeding changes are common but not harmful. Typically, irregular bleeding for the first several months and then no monthly bleeding.

Return for injections regularly. Coming back every 3 months (13 weeks) for DMPA or every 2 months for NET-EN is important for greatest effectiveness.

Injection can be as much as 2 weeks early or late. Client should come back even if later.

Gradual weight gain is common.

Return of fertility is often delayed. It takes several months longer on average to become pregnant after stopping progestin only injectables than after other methods.

 

Side Effects, Health Benefits, and Health Risks

Side Effects

Some users report the following:

l  Changes in bleeding patterns including, with DMPA:

First 3 months:

Irregular bleeding

Prolonged bleeding

l  At one year:

No monthly bleeding

Infrequent bleeding

Irregular bleeding

l  NET-EN affects bleeding patterns less than DMPA. NET-EN users have fewer days of bleeding in the first 6 months and are less likely to have no monthly bleeding after one year than DMPA users.

l  Weight gain

l  Headaches

l  Dizziness

l  Abdominal bloating and discomfort

l  Mood changes

l  Less sex drive

Other possible physical changes:

l  Loss of bone density

 

All information from WHO-handbook of family planning

 
 
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