hormones
progestogen only
IM injection
depo-provera
SC injection
sayana press
contraindications
active breast cancer IHD, stroke unexplained vaginal bleeding liver cirrhosis liver cancer
can cause
osteoporosis
MOA
inhibit ovulation
thicken cervical mucus
alter endometrium
injection day 1-5
immediate protection
injection after day 5
7 days extra contraception
how often need injections
12-13wks
side effects
irregular bleeding weight gain acne mood changes headache flushes hair loss osteoporosis
increased risk
breast and cervical cance r
two side effects unique to depot injection
osteoporisis
weight gain
problematic bleeding
can occur first 6mo
can take COCP for 3mo if have problematic bleeding
potential benefits
help dysmoenorrhoea
reduce risk ovarian + endometrial cancer