Training of Roma Health Mediators in Reproductive Health

Trainer document
INJECTABLE CONTRACEPTIVE – DEPO-PROVERA (presentation)
How Depo-Provera Works
Depo-Provera works the same way as pills:
• It suppresses ovulation
• It creates a thick cervical mucus plug
• It thins out the inner lining of the uterus (endometrium)
Effectiveness
They are very effective: only 1 pregnancy in 300 women using the injectable in the first
year.
Advantages
• Is a safe, very effective, long lasting method
• Is easy to use (only 4 injections per year) and offers privacy to the user
• Can be used by women who cannot use COCs, including breastfeeding women
• Does not interfere with sex life
• Has health benefits:
o Reduces menstrual bleeding and thus prevents anemia
o Decreases the risk of endometrial cancer, acute pelvic inflammatory disease and
ectopic pregnancy
Disadvantages
• Has some side effects.
• Must be provided every 3 months by a health professional.
• It usually takes 6-10 months to become pregnant after stopping the injection
• Cannot be withdrawn from body after injection is given
• Does not protect against STIs/HIV.
Possible Side Effects
Most women experience:
• Changes in menstrual bleeding (prolonged or heavy bleeding, irregular menstrual
periods or absence of periods for many months)
• Unexpected bleeding or spotting between periods
Occasionally, they may experience:
• Headache, dizziness, and mood changes
• Breast tenderness
• Acne
• Increase appetite and weight gain.
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RFHI/JSI Romania Training of RHMs in Reproductive Health Session 4: FP Methods