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Contraception

Depo-Provera

Depo-Provera is a form of contraception. It is a drug very similar to progesterone, a hormone normally produced by the ovaries every month as part of the menstrual cycle. Depo-Provera is an injectable medicine that prevents pregnancy for up to 3 months with each injection.

Depo-Provera prevents pregnancy by preventing ovulation (the release of an egg from the ovary). If an egg is not released, pregnancy is unlikely. Depo-Provera is given as 1 shot in the buttock or upper arm. The first shot should be given within 5 days after the beginning of a normal menstrual period, and shots should be repeated every 3 months.

Depo-Provera is very effective. In fact, studies show it is more effective at preventing pregnancy than several other contraceptive methods, including the Pill, condoms and diaphragms. It does not, however, protect against any other sexually transmitted infections.

Depo-Provera only works for about 3 months. The shot must be repeated every 3 months to prevent pregnancy. After a woman stops using Depo-Provera, her normal ovarian function returns after a short time. However, it can take up to 9-10 months to get pregnant after receiving the last injection.

Possible side effects of using Depo-Provera include:

  • weight gain
  • headaches
  • nervousness
  • abdominal discomfort
  • dizziness
  • weakness or fatigue
  • menstrual changes

Most women have changes in menstrual periods including irregular and unpredictable bleeding or spotting, an increase or decrease in menstrual bleeding, or no bleeding at all. After 1 year of use, about 50% of women have no bleeding at all. The absence of periods is not harmful, and periods usually return to normal after Depo-Provera is stopped. If unusually heavy or continuous bleeding occurs, you should see your doctor.