Contraception. 2008 May;77(5):315-317.
Self-administration of injectable contraceptives.
Prabhakaran S.
Center for Women?s Health Research and Division of Women's Primary Healthcare, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, CB#7570, Chapel Hill, NC 27599-7570, USA.
Although depot-medroxyprogesterone represents a highly effective contraceptive, its use is associated with poor continuation rates. Although the major reason for discontinuation is menstrual irregularity, the time, expense and inconvenience of clinic visits also pose a barrier to use. Self-administration of the 104-mg subcutaneous formulation might make clinic visits unnecessary. Many medications can be safely self-administered by subcutaneous injection, and patient satisfaction is high. Appropriate patient selection, adequate training, use of prefilled injection devices and counseling regarding bleeding patterns are likely to maximize success rates with self-administration. By improving the convenience of this contraceptive method, self-injection might improve both compliance and continuation rates. The potential for self-administration of this contraceptive deserves formal study.
Please click on the required question.
- 1 What types of hormone contraceptives are available?
- 2 How effective are hormonal contraceptives?
- 3 How do hormone contraceptives work?
Progestogen-only pills
- 4 What is a progestogen-only pill?
- 5 How do progestogen-only pills provide contraception?
- 6 How does the progestogen-only pill compare to the combined oral contraceptive pill?
- 7 When are POPs recommended in preference to COPs?
- 8 How effective are progestogen-only pills?
- 9 When should POPs be started and how quickly are they are effective?
- 10 When should progestogen-only pills be taken?
- 11 What should be done if a POP is missed?
- 12 What will happen to my periods whilst I am taking progestogen-only pills?
- 13 What should be done if my periods stop when I am taking the progestogen-only pill?
- 14 What should be done if vomiting occurs?
- 15 Should additional precautions be used during a course of antibiotics?
- 16 Can POPs cause ovarian cysts?
- 17 Should the POP be discontinued before I have an operation?
Long-acting hormonal contraception.?
- 18 What are long-acting hormonal contraceptives?
- 19 Depo-Provera What is Depo-Provera?
- 20 What are the advantages of Depo-Provera?
- 21 I have recently had a Depo-Provera injection and now I need to have an operation. Will the operation be delayed?
- 22 What are the disadvantages of Depo-Provera?
- 23 Will my fertility return three months after my last Depo-Provera injection?
- 24 Do long-acting hormonal contraceptives increase the risk of cancer?
- 25 What are contraceptive implants?
Levonorgestrel Intrauterine System - LNG-IUS - Mirena
- 26 Mirena: What is the Levonorgestrel Intrauterine System (LNG-IUS)
- 27 How does the Mirena work?
- 28 How effective is the Mirena as a method of family planning?
- 29 How would a Mirena effect my long-term fertility?
- 30 How long has the Mirena been in use?
- 31 How is the Mirena introduced into the womb?
- 32 How quickly will a Mirena work?
- 33 What problems can occur with the Mirena?
- 34 How frequently should my Mirena be changed?
- 35 What will happen to my periods after a Mirena is introduced?
- 36 What value is Mirena in the management of period problems?
- 37 What value is Mirena for premenstrual syndrome?
- 38 What value is Mirena in Hormone Replacement Therapy?
- 39 Family Planning Support Groups.
- 40 Support Groups.
- Mini Pills
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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
