Depo Provera. Hmmm... probably the most effective hormonal contraceptive there is, something like 99.7% --- as opposed to the Pill, which is 97%.But this high-level protection, and convenience (no pills to forget to remember, no "interruptus" ..
) comes with a cost ... big cost.
Here's a list of adverse effects from Family Practise Notebook (Gynecology):
- Spotting and breakthrough bleeding
- Weight gain - Weight gain often exceeds 3 pounds
Weight gain may be persistent and excessive
Depo Provera may not be best option for obese patient
- Future fertility concerns - Fertility returns 7-12 months after last Depo Provera. Infertility beyond 12 months should be evaluated
- Adverse Lipid Effects - Lowers HDL (the "good" cholstrl) - Raises LDL (the "bad" cholstrl) and total cholesterol. No change in triglycerides. Avoid use in Coronary artery disease. Avoid use in Hyperlipidemia
- Bone density - Decreased bone density with over 5 years Depo Provera. Bone changes may not be reversible. Careful with use in adolescents. Maximize daily calcium intake to 1500 mg
- Libido change
- Depressed mood
- Alopecia (hair loss)
You might want to check out this Warnings and Precautions
page at Rxlist. Apparently there is also some screw-up with glucose tolerance, and advise for caution with diabetes and blood sugar management.
Here's the official Depo-Provera webpage - http://www.depo-provera.com/
- check out the "prescribing information", it's in PDF format, so you need Adobe Reader to view it.
Here's an article
about Depo being approved by the FDA, but if you scroll halfway down the page, there's an interesting section titled "The Next Steps".
Hope this helps, and maybe a scheduled appt. with your OB/Gyn is in order?? Have the questions written down, so you don't forget anything when you see her(him).