Wednesday, 7 October 2020

Inj Depo Provera as contraceptjive

 What is the failure rate as contraceptive as inj Depo Provera in A) Perfect users (i,.e. regular intake of inj as advised by HCP(Health Care providers) in intake of inj preferably 84 days intervals) and b) failure rate in casual users of Inj Depo Provera?? Opinion of members . AS far as I can recollect it is 0.3 in perfect users and 3% for casual users. The fact 64 days is recommended by many Contraceptive distribution authorities as for any family problem/ Climate disorders/ Hospital Road facilities such authorities recommend that Inj be planned 6 days ahead so that some allownace is available . To avoid or minimize commonest side effect of Depo i,.e BTB/ spotting/ irregular bleeding it is approved by some internationally acclaimed authorities to have first 3 doses at 2 months intervals followed by 86 days. Mobile alarm from company is not available as is available in some contraceptive tab makers. (mobile reminder automatically save in App). Even then she complains of BTB , which is still not uncommon then either Lynoral (0.01 ), if locally available 1 tab BD PC or premarin 0.625 1 tab BD AC for 20 days will suffice. May supplement TX Acid. To Keep an vigil on BMD after 3 yrs . Should ideally supplement Ca , Vit D after 3 yrs if not earlier even if she may be hard working lady with good amount of milk ingestion., implying good bone mass . What is the serum progesterone after one yr of Depo and serum oestrogen after 1 yr ? What will be serum oestrogen & progesterone in LNG IUS users after 2 yrs, 3 yrs ?

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