Depo-Provera: use of a long-acting progestin injectable contraceptive in Turkish women

Feasibility of injectable Depot medroxyprogesterone acetate in a semi urban camp setting

“…9,10 In this small study of 45 eligible women who accepted DMPA injectable, no pregnancies occurred ,thus the Pearl index was zero. Similar results were obtained in Karnataka study, Chinese study and also a low rate of pregnancy (0.08%) was reported by Aktun et al [11][12][13] The mean age of women in our study was 26.5 years which was comparable to Rai and Khan et al (27years). 51% clients who had one child opted for this method for birth spacing whereas 21% primipara chose DMPA compared to multipara in Rai study and similar results were also observed by Khan et al 11,14 It is because in India women are less aware and less informed about spacing methods.…”

“…12,13 Singhalet al studied the impact of short term use of DMPA on breast feeding performance and reported nearly hundred percent satisfaction in primipara regarding lactation amount. 15 Higher continuation rates of 60% and more in the postpartum women were also quoted by others.…”

“…Irregular bleeding and disruption of menstrual cycle has also been observed by Aktun et al and Rai et al in 65% -80% of women in their studies . 11,13 Women can be counselled that amenorrhoea and reduction in menstrual cramps if develops as a side effect, can be viewed as an advantage. 18 Menorrhagia which was common with first and second dose of injectable was reported by six clients in our study .It was managed with tablet of tranexaemic acid (500mg) along with iron tablets but three of them dropped out after two injections despite counselling, citing spousal disagreement.…”

“…11,13,14 Internationally, these rates range from 44% to 56%at 12 months. 20 Discontinuation mainly due to menstrual disturbances ranges from 15%-50% 21 and this was the main reason for dropping out after one or two injection in our study.…”

Compare of Continuation Rate and Reasons for Discontinuation of DMPA Contraceptive among Iranian Women Referred to Tabriz and Ardebil Health Centers

“…It works mainly by stopping ovulation and it is given every 12 weeks, makes the lining of the uterus thinner and thickens the mucus. It is more effective and its failure rate is 0.3% for one year (8)(9)(10). Its effectiveness is equal with tubal ligation and more effective than OCPs and IUD (11).…”