Depo Provera Shot Near Me – When you hear the term birth control, you probably think of the pill, followed by methods that are becoming increasingly popular, such as intrauterine devices and the Nexplanon implant. But there are many other options, including one that doctors say is popular but often overlooked in the birth control conversation: the shot.
Depo-Provera, the trade name for medroxyprogesterone (often called “the shot”), is a female contraceptive that contains progestin, a synthetic version of the hormone progesterone. It is given as an injection once every three months, the Mayo Clinic says, and works to suppress ovulation, ie. This prevents your ovaries from releasing an egg each month that can be fertilized, leading to pregnancy. The injection also thickens the cervical mucus to prevent the sperm from reaching the egg.
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According to Planned Parenthood, the shot is more than 99 percent effective when used perfectly, but in real life, the shot is only about 94 percent effective because sometimes people forget to get their shot on time. This means that about six out of every 100 injection users become pregnant each year.
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Rebecca Stark, MD, an obstetrician-gynecologist and clinical assistant professor of surgery at the Cleveland Clinic Lerner College of Medicine, tells SELF that she doesn’t recommend hormonal birth control pills, IUDs, and implants over shots, but Depo-Provera is among them. the range. of options that he discusses with his patients.
On the other hand, Dr. Jessica Shepherd, assistant professor of clinical obstetrics and gynecology and director of minimally invasive gynecology at the University of Illinois College of Medicine in Chicago, tells SELF that Depo-Provera is quite popular among her patients “It’s a great option for women looking for some kind of long-term contraception, and it allows people a little more flexibility in managing their pregnancy,” she says.
However, no method of birth control is perfect, and the shot is no exception. Here are some potential side effects you should be aware of if you use it.
The most common side effect of the injection is a change in a woman’s blood flow pattern, Jason James, MD, medical director of FemCare Ob-Gyn in Miami, tells SELF. In the short term, this can mean you have an irregular cycle and spotting. But after a few months, the progesterone in the shot thins the lining of the uterus, and as a result, your period may disappear. However, after you stop the injections, you may have irregular bleeding again, as your body removes the excess progesterone from your system.
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Michael Chakovich, MD, director of the Maternal Heart Disease in Pregnancy Program at The Ohio State University Wexner Medical Center, tells SELF that it takes 10 to 22 months for a person to “return to fertility ” after he stopped injecting. “It’s not a good family planning drug” if you want to get pregnant quickly, he says, in the sense that you can get an immediate return to fertility with options like the pill.
Using Depo-Provera for more than two years can cause bone loss. “Now it is, because we find that more and more women are using it for a longer period of time,” says Kekovic, adding that the Depo-Provera label warns that bone density decreases with the duration of l use. t be Even after stopping the drug, it can be completely reversed. As a result, Kekok says some doctors recommend that women take calcium and vitamin D supplements on the shot.
However, Shepherd says this is a potential side effect of almost any form of hormonal birth control. “What I would recommend is that if someone experiences a new onset of headaches when starting a new birth control method, they should really talk to their doctor,” he says. While it’s probably just a normal side effect of birth control, “it can trigger something or make something that’s already bad,” explains Sheppard.
If you are on the birth control pill with estrogen and progesterone, you may have noticed that your skin looks clearer. This is because joint pills help eliminate excess testosterone in your body, which can worsen acne. “We’ve often seen women on COC have better color,” says Stark. However, progesterone does not only affect your skin in the same way as injections. It won’t necessarily make your skin worse, says Stark, but it won’t improve it either.
The Aftereffects Of Coming Off The Depo Provera Shot
Bloating and abdominal pain is a common initial complaint in the press, says James. This is because progesterone can slow down digestion in the gut a little, but it doesn’t last forever. “These symptoms, like most side effects, tend to improve over time as women use the medication,” says James.
James says some women report weight gain in the press. In fact, a 2009 study published in the American Journal of Obstetrics and Gynecology found that Depo-Provera users gained an average of 11 pounds over three years, compared to the three to four pounds gained by women pregnant compared to other forms of Of course, the use of the engine does not guarantee that you will gain weight, but it is a potential side effect that worries some people.
Despite the possible side effects, most experts say that the shot is a good method of birth control. But, as with any drug, it’s really best to talk to your doctor about all your options before making a decision. Depo medroxyprogesterone acetate (DMPA), often referred to by the brand name Depo Provera or “Depo Shot,” is a birth control that is given as an injection every three months to prevent pregnancy. The most common form is an intramuscular injection, which usually involves a visit to a healthcare provider – such as a doctor, nurse or pharmacist – to receive it. Although visiting a clinic to obtain birth control is generally acceptable for some patients, accessing birth control in a clinical setting during the COVID-19 pandemic puts patients and health care providers at risk of exposure useless to the virus. However, there is a self-administered version of the depot injection, called DMPA-SC (the SC stands for subcutaneous or subcutaneous), where doctors send a prescription every three months to the patients’ local pharmacies, where they take it at home. injected into DMPA-SC helps to face the obstacles and risks in the prevention of pregnancy through clinical visits every three months. Unfortunately, not all insurance companies cover DMPA-SC, some pharmacies do not offer it, and some pharmacists will not dispense it without an additional clinical supervision note. Despite the abundance of evidence in the United States and around the world that self-administration is as safe and effective as clinical administration, the FDA’s clinic label potentially helps overcome these barriers. These barriers are unacceptable, especially during a pandemic, when better access to DMPA-SC can not only provide people with the continuity of contraceptive care they need and want, but also to prevent the spread of COVID-19. It also limits the risks of spillage.
Members of the Reproductive Health Access Network are taking a stand against these access barriers and organizing in their states, such as California and New York, to pressure policymakers to ensure DMPA-SC coverage for COVID-19. 19 and later. For example, in March, when cases of COVID-19 began to increase in the United States, Dr. Jennifer Carlin, a family physician and family planning fellow at the University of California, San Francisco, contacted Medi -Cal (public health insurance). provider .in California) to support coverage of self-administered DMPA-SC. The Chief Policy Officer (CPO) of Medi-Cal’s Division of Pharmaceutical Policy contacted Dr. Carlin and requested an informal review of the literature on the safety and efficacy of self-administration. This advocacy and literature review provided evidence that Medi-Cal adopted an interim policy on April 8, 2020 to pay for pharmacies without requiring DMPA-SC prior approval. Dr. Carlin explained:
Reproductive Health Access Project
“By aligning the state of California’s social distancing goals and maintaining access to medication benefits with the goals of increasing access to contraception based on patient preferences, we are actually able to give births in the state of California during medical emergencies.”
But Dr. Carlin did not. As Medi-Cal has adopted a transition policy, she and the CPO hope to analyze Medi-Cal claims data on utilization, continuity and outcomes during the coverage expansion, as well as interview the patients about their interests and experiences about their interests and experiences that have been. managed Clinical self-administered DMPA-SC injection. Such data can support ongoing state and national advocacy efforts to increase post-pandemic DMPA-SC coverage.
To support continued advocacy, RHAP is working to understand the national coverage and pharmacy availability of DMPA-SC insurance coverage. By researching different forms of insurance plans online, we found differences in coverage between companies. But if a company covers DMPA-SC in one state, they are likely to cover it in all states. Some plans require a copay and/or prior authorization, but others cover it entirely under the Affordable Care Act. Some do not cover DMPA-SC. In addition, RHAP volunteers call a random selection of franchise and community pharmacies in various states
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