Does a woman still need to have a pregnancy test before receiving her first Depo injection if she has her normal menstrual period? #410/15

Q:         We are trying to update our guidelines for DMPA injections.  For an initial start, if a woman has her normal menstrual period, do we still need to do a pregnancy test before administering the Depo injection?

Thank you!

A:       

If a menstruating woman is starting to use Depo injections as her contraceptive and is within 7 days of the start of a period she may receive her shot without a pelvic exam or a pregnancy test and she need not use backup contraception.      

Did you get that first Depo injection?  Where do things stand today, May 26, 2015?

Robert A. Hatcher MD, MPH

Emeritus Professor of Gynecology and Obstetrics

Emory University School of Medicine

Atlanta, GA

To learn more about the advantages and disadvantages of Depo-Provera injections, go to: www.managingcontraception.com.   You can order all of these books listed below from our website or by calling 404-875-5001. 

Key Words:      update, guidelines, DMPA injections, menstrual period, pregnancy test, pelvic exam, backup contraception

Current Books:

Contraceptive Technology 20th edition

Managing Contraception 2015-2016 edition

Choices 2014 edition

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