What's your most important message about Depo-Provera injections? #804/14

 

Women considering use of Depo-Provera should be encouraged NOT to if they will find it unacceptable if their periods change, because their periods WILL change.  That’s 100%!

 

 

1.   Depo-Provera injections each 3 months have the lowest continuation rates of any modern contraceptive.  One year continuation rates: 23% (Westfull-1996); 42% (Polaneczky 1996), 56.1% (Trussell -20th ed. Contraceptive Technology, p. 50), 59.4% (Schwallie-1973).

2.   Structured counseling has been shown to diminish discontinuation rates from Depo-Provera – induced bleeding problems. (Mexican study by Canto-DeCetina, 2001 Contraception).

 

Bleeding Problems            Usual Counseling    Structured Counseling

Amenorrhea                              17%            —>            3%

Irregular bleeding                       10%            —>            3%

Heavy bleeding                            5%            —>            2%

All bleeding problems                 32%             —>            8%

 

3.    It is possible that a subcutaneous (SQ) Depo injection, which would facilitate women doing their own injections (self injection), might increase continuation rates of contraceptive injections.  As it stands now Depo-Provera, 150mg each 3 months via deep intramuscular injections, requires more clinic visits than any modern contraceptive – 4 per year.

 

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 and click on Choices 2013 edition.  You can also order this wonderful new educational book from our website or by calling 404-875-5001.  Do you have your copy yet?  It is now available in English and Spanish.   



Key Words:  Depo-Provera injections, encouraged, unacceptable, period changes, lowest continuation rates, modern contraceptive, structured counseling, diminish, Mexican study, bleeding problems, subcutaneous, own injections, intramuscular, clinic visits

 

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Posted on

August 15, 2014