Depo Provera Short Birth Control

Depo Provera Short Birth Control

 injection medroxyprogesterone acetate

 Depo-Provera is a well-known brand name for medroxyprogesterone acetate it advantage side effect and usage, 

What is depo provera ?

Depo provera is the trade name for Depot Medroxy Progesterone Acetate. It is available in the form of a needle, a family planning tool used by women. It works as a contraceptive for three months after the injection. Its quantity is 150 mg. 

Effectiveness 

 depo provera is a very reliable means of family planning. If the  depo provera needle is taken correctly i.e. exactly 3/3 months, its effectiveness is more than 99 percent. 

How does  depo provera work?

  • Prevents egg production. 
  • It thickens the cervical mucus which prevents sperm from entering the uterus.
  • The inner part of the uterus is thinned, so that even if the egg is fertilized, the pregnancy cannot survive due to the lack of a favorable environment for the development of the embryo. 

When to start  depo provera injection for the first time?

 The first needle should be inserted within 7 days of menstruation.

If the woman is sure that she is not pregnant, this needle can be inserted on any day of the menstrual cycle. If the needle is inserted after 7 days of menstruation, other means should also be used for another 7 days. 

If a woman is using the breastfeeding method of contraception (less than 6 months) and has not had her period, it can be used at any time within 6 weeks to 6 months. If it is more than 6 months, it can be used at any time after making sure that the woman is not pregnant. If she has not had menstruation, she should wear needles and use other means for seven days. If menstruating, inject like any other regularly menstruating woman can be

  1. depo provera needle can be inserted after 6 weeks of delivery if the woman is not breastfeeding.
  2. Non-breastfeeding mothers can use depo provera  needle after 3 weeks of delivery. 
  3. depo provera can be started immediately or within 7 days after spontaneous or external abortion

How much time to wear depo provera?

depo provera needle is more effective if used every 3 to 3 months. But this needle can be used 2 weeks before 3 months or 2 weeks after 3 months. 

What are the advantages of depo provera? 

  • You can get pregnant again after stopping using it (Reversible method)
  •  It is effective for 3 months if used once. You don't have to use it every day like a pill. Also privacy is not violated. |
  • It is useful for breastfeeding women.

Other benefits of depo provera 

  1. Reduces Pelvic Intestinal Disease (PID).

  2. . This needle can prevent endometriosis, ovarian cysts, ovarian cancer, uterine fibroids, breast lumps, etc. 

Disadvantages of depo provera

Changes in the appearance of blood during menstruation are normal. In the beginning, menstruation may be disturbed and there may be heavy bleeding, and gradually it becomes non-menstrual. Most women may stop menstruating a year after the injection. 

  • This needle sexually transmitted disease and H. i. It does not provide protection against HIV and AIDS. Sexually transmitted diseases and HIV. 

What kind of women can use this needle?

  1. .Do not take pills and smoke after reaching the age of 35 years.
  2. Want to use a reliable and easy method.
  3. methods want to keep privacy.
  4. Others who are dissatisfied with family planning 
  5. Anemic women 

What kind of women should be careful when using depo provera?

  • Pregnant or suspected of being pregnant
  • Lumpy breast, suspected cancer
  • Abnormal menstrual bleeding and intermenstrual bleeding have recently had 
  • liver disease
  • Uncontrolled high blood pressure
  •  Diabetic
  • Very head ache
  •  Sad mood

 blood pressure should be monitored.

Women with depressed mood should have regular follow-up if they use depo provera needle. 

Correcting misconceptions 

  • depo provera has received approval from the Ministry of Health
  • depo provera does not make a woman childless, although it may take time for menstruation to return. 
  • depo provera does not dry menses quickly.
  • depo provera does not cause birth defects or is immortal even in giving birth to more than one.
  • depo provera does not change the sexual behavior of women. 

How to use depo provera needle?


The depo provera needle should be used according to the following.

First Step - Preparation:

  • Necessary items for depo provera needle such as:depo provera needle, syringe, spirit, cotton etc.
  • Check the date of expiry date of the spouse's file.
  •  Prepare the client for the needle and make them sit comfortably.

Step 2 – Preparation for needling:

  •  Wash hands thoroughly with soap and water and allow to dry.
  • Soak cotton in spirit and clean the place where the needle will be inserted (deltoid or gluteal muscle) in a circular motion. 
  • Allow the area wiped with spirit to dry.

Step 3 – Needle Preparation:

  1. Dissolve the medicine by shaking the vial of depo provera well.
  2.  Use separate sterilized AD syringes and needles for each client.
  3. Remove the rubber part of the vial without touching it. 
  4. To withdraw the medicine, insert the needle into the vial without taking air into the syringe.
  5.  Carefully draw all the depo provera medicine in the vial and add 1 ml. Stop when you come! 
  6.  Removing the needle from the vial. To expel the small amount of air that may be there, turn the syringe vertically and gently tap the syringe and draw up the desired volume ie 1 ml. to match

4th step – giving the needle:

  • Then give the needle to the client. Pull back the plunger of the syringe slightly to see if the needle enters the blood vessel.
  • If the needle is not in the blood vessel, fully depress the plunger. 
  • After giving the medicine, take out the needle and gently press it with a dry cotton, do not wrap it.

Fifth step - After giving the needle:

  • Sharps without re-capping needles and syringes immediately after use Put it in a container.
  • Wash your hands with soapy water.

Sixth step – Post-needle consultation: 

  • In three months after the injection, ask to come again for another injection and write the date on the card .
  • the danger signs and to keep in touch in case of any problem.
  • Compared to other disposable syringes, the method of using AD syringes is different as follows:
  • filling the vial with medicine in this syringe, air should never be filled in the syringe. If the vial fills with air, the syringe will close and become ineffective.
  • When taking the amount of depo provera needle into the syringe, air must be prevented from passing through the needle. Since the plunger of this syringe cannot be pulled back and forth freely, air cannot be thrown out. If the healthcare worker knowingly or unknowingly draws too much air, the amount of needle used may be less.
  • After inserting the needle into the client's flesh, pull back the piston to see if it has entered the blood vessel. Since this syringe is self-closing, the plunger of the syringe can be pulled back only a small amount to ensure that the needle does not enter the blood vessel. It can be known whether the tip of the needle is in the blood vessel or not if the plunger moves back a little.

Similarities between AD syringe and other

  • Regardless of the type of injection, the right drug, in the right amount, to the right client, at the right time and in the right place must always be used before giving the needle. The drug should be injected only after gaining consciousness, taking into account the instructions mentioned in the vial level.
  • Never touch the needle, the needle hub, the rubber part of the vial and the injection site while giving the injection. If you do this, they can be contaminated by micro-organisms. If the needle, needle hub, rubber part is touched, another new syringe should be used.
  • Health workers should not use their fingers to find the appropriate place for the injection and to stop the blood if it bleeds after the injection. By doing this, the possibility of transmission of blood-borne diseases from the customer to the service person and from the service person to the customer may increase. The vial should be shaken gently to dissolve the medicine well before filling the depo provera needle syringe.
  • A new needle and syringe should be used for each injection. If there is no vial or syringe with the syringe, this needle can be given only with other sterilized needles and syringes. When giving a

What are the possible effects of concubinage?

For the first 3 to 6 months of using the depo provera needle, most women experience light and rapid bleeding without menstruation. After 9 to 12 months of use, all these effects will disappear and menstruation may also stop. For a few months after using it, some women may have a general headache and some may have a depressed mood, but these effects also disappear on their own. Some women gain weight. This can be a positive effect for skinny women.

If the above effects occur or persist for a long time, consult the client's doctor Where should it be sent. 

What are the dangerous conditions that can be caused by depo provera?

Immediate treatment is necessary in the following situations:

  • If there is heavy bleeding from the vagina
  • If the head hurts a lot (Repeated Migraine Headache)
  •  if the lower stomach hurts a lot
  • If the mood is too sad

Management and treatment of side effects 

Irregular and prolonged bleeding at the beginning and cessation of menstruation are the natural side effects of depo provera injection. But this creates fear in the customers and creates a wrong perception towards depo provera injection. As a result: they develop a negative attitude towards the depo provera injection and stop wearing the depo provera injection. If women are given correct information about the side effects that can be caused by depo provera injection, and if they are given advice and suggestions regarding the treatment, they will use depo provera injection regularly and there will be no need to stop. The effects seen from the use of depo provera injection and the methods of solution are also different, which are as follows:

If there is light spotting bleeding

Women who use depo provera injection needle may experience light and spotty bleeding at first, which is normal. Although this effect lasts for a long time, it does not harm the health and the customer should be convinced about this. If the customer is not convinced, a packet of edible pills (Golden Rose or Nilokan White) should be given. Tell the client that taking the pill stops irregular bleeding. There may be some bleeding after stopping the pill, but it cannot be confirmed that all customers will experience this problem and light bleeding may occur again.

Bleeding during menstruation lasts longer than usual

25 to 30 percent of women who have received depo provera  injections may experience bleeding for longer than their previous period. Women should be convinced that this effect is also natural. If the woman is not confident, she should be advised to consume white or golden rose after 2 to 3 weeks. According to the report of the World Health Organization, it has been found that 92 percent of women who take the pill for 2 weeks have stopped bleeding. Take 800 mg Brufen 3 times a day for 5 to 7 days.

If there is too much blood

It is abnormal to bleed more than usual and for a long time during menstruation. For this, Nilokan White or Golden Rose pills should be taken at the rate of 1 pill a day for 3 weeks, if the color does not stop even after doing this, the doctor should recommend it and send it.

If menstruation stops

About 50 percent of the women who use the needle needle, 12 months after starting the needle, and 75 to 80 percent of the women stop menstruating if they continue to use the needle. This is a natural side effect of the depo provera needle, but women often stop using the needle because they don't understand it or because the service provider doesn't explain it to them. Therefore, the service provider should advise the customer on the following:- 

  • Cessation of menstruation is a natural effect.
  • It should be reminded that this is due to the effect of the medicine of depo provera injection , information should also be given that it is not necessary to take a pregnancy test to determine if she is pregnant or not. 
  • The benefits of stopping menstruation should be explained.
  • It should also be mentioned that just like there is no period when breastfeeding the baby, there is no period by using depo provera injection and it protects the body from the disease of loss of blood.

[Something to remember Estrogen should not be used to induce menstruation when you are not menstruating.

Storage of depo provera injection

All depo provera injection packets have their expiration date written on them. After the expiration date, the depo provera injection needle automatically becomes unusable. Always read the instructions on the packet when storing depo provera injection needles. depo provera injection should be kept in a cool but dry and clean drawer away from sunlight.

As mentioned in the packet of depo provera injection, the vial of depo provera injection should always be kept vertically, so that it is easy to dissolve the depo provera injection.

Keeping in mind the number of customers who come to get depo provera injection, the stock of depo provera injection should be kept. If you are not able to provide service to the customer on time, you will lose the customer's trust and the number of customers may decrease.

Monitoring of clients who use needles

  • A woman who is having a depo provera injection should never forget that she has to get the needle every 3-3 months.
  • Customer contact card should be given to the woman after the first injection of the female partner mentioning the date of second injection.
  • It should be clearly stated that the date mentioned in the card should be mandatory.
  • If you are not able to get the injection on the specified date, you can get the injection for 2 weeks. If it is delayed, the effect of the medicine will be reduced and there is a possibility of pregnancy. Therefore, one should wait until the next menstruation by adopting other family planning methods. If you are sure that you are not pregnant or if you have not had intercourse, you can insert this needle at any time. If you can't come to get the needle on the specified date, you can get it 2 weeks before reaching 3 months                                                                                   more others

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