WHAT YOU NEED TO KNOW:

What is injectable contraception? Injectable contraception is birth control medicine that is given as a shot. This medicine helps prevent pregnancy.

What is an example of injectable contraception? Medroxyprogesterone acetate is given once every 3 months on day 1 to 5 of your menstrual cycle. This type of shot may decrease blood loss and pain during your period. It also decreases your risk of having anemia (low red blood cell count).

When can I start to use injectable contraception? Your healthcare provider will tell you when you can start injectable contraception. You may need to use a different method of contraception for the first 7 days after you get the shot. You may need blood or urine tests before you start this medicine. You may use this method in any of the following situations:

• During your menstrual cycle, you can start to use injectable contraception. You should get your first shot within 5 days after your cycle starts, if you have regular menstrual cycles. If you have irregular bleeding or no periods you may get the shot any time.
  
  
• When you switch methods of contraception, you may need injectable contraception until your new method is working. This may decrease your risk of becoming pregnant.
  
  
• After you give birth, you are given the first shot between 6 weeks and 6 months after delivery. If you are not breastfeeding, you may have the shot any time.

What are the risks of injectable contraception? Injectable contraception does not protect against sexually transmitted diseases. You may have headaches or changes in your mood. You may have heavy periods or periods that last longer than normal for you. Your periods may stop completely. You may have an upset stomach. You can develop brittle bones and be at higher risk for a fracture. You may gain weight.

How can I care for myself while I use injectable contraception?

• Do not smoke. Nicotine and other chemicals in cigarettes and cigars can cause lung damage. They can also increase your risk for a blood clot while you use injectable contraception. Ask your healthcare provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your healthcare provider before you use these products.
  
  
• Increase your daily intake of calcium and vitamin D to make your bones stronger and help prevent fractures. Foods rich in calcium include milk, yogurt, and cheese. You may need to take to take vitamins with calcium and vitamin D. You should get 1300 mg of calcium and 400 IU of vitamin D per day when using injectable contraception. Talk to your healthcare provider before you take vitamins.
  
  
• Exercise regularly to build bone and muscle strength. Ask your healthcare provider about exercises that are right for you.

When should I seek immediate care?

• You have heavy vaginal bleeding.
  
  
• You have yellow eyes or skin.
  
  
• You have severe pain in your stomach or abdomen.

When should I contact my healthcare provider?

• Your period lasts longer than is normal for you.
  
  
• You do not get a period.
  
  
• You have unprotected sex before you have your shots.
  
  
• You have changes in your mood.
  
  
• You have questions or concerns about injectable contraceptives.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.