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Depo-Provera Contraceptive Injection

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2007-12-23No history Add My version 
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Mind map Depo-Provera Contraceptive Injection (from MedMaps.co.uk) - the online mind map resource for medical students and doctors. Gynaecology. Medicine. 
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DEPO PROVERA

EXAMPLES

Medroxy-progesterone acetate

1st Rx

If after day 5 use barrier for 7 days

Day 1-5 = immediate contraception

DURATION OF ACTION

3 Month protection

Licensed for long and short term use

FAILURE RATE

1/1000

CONTRAINDICATIONS

Pregnancy

Undiagnosed vaginal bleeding

Severe arterial disease

Recent tophoblastic disease

Planned pregnancy in near future

mean return to fertility post depo roughly 5.5 months

60% conceive within 12 months stopping

CANCER

Breast

Small increase risk (smae as COC)

No risk assoc

ovarian

cervical

liver

Protective

endometrial

5 fold RR 0.2

continues for 8 yrs post stopping

VTE/CVD

SIDE EFFECTS

Cannot reverse effects once given

associated bone loss

irregular bleeding after 1st injection

bloating

dizziness

irritability

headaches

DRUG INTERACTIONS

ENZYME INDUCERS

recomended 10 weekly injections

ANTIBIOTICS

No effect on depo