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Talk to Gynecologist on Birth Control Injection

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Asking For Wife, Female 27, lahore

Hello,

I have a question regarding my wife. We are planning to use a progesterone birth control injection and need guidance on the following points:

What is the proper procedure for getting the progesterone contraceptive injection?

Where in Lahore is this injection available (hospitals or clinics)?

Are there any tests required before getting the injection? If yes, which tests should be done so we can complete them in advance and avoid unnecessary visits.

If we want a gap of one year, how often does this injection need to be taken (after how many months)?

What are the possible side effects, and for which women is this injection suitable or not suitable?

Kindly provide detailed guidance. Thank you.

Gynecologist in Karachi - Dr. Brigadier Rtd Azra Shamsi

Dr. Brigadier Rtd Azra Shamsi - Gynecologist

MBBS, MCPS (Obstetrics & Gynaecology), FCPS (Obstetrics & Gynaecology) | Karachi

review-stars

627 Positive Reviews

Inj famila available , depot queen at family planning centres n big medical stores, use 3 monthly,start within 2-3 days of menses, sometimes initially irregular bleeding , take with daily qalsan tablets for calcium


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Member

Post Owner


Doctor Can I take this injection on 6th day of menses?

2 weeks ago

Gynecologist in Islamabad - Dr. Tasnim Zahid Hussain

Dr. Tasnim Zahid Hussain - Gynecologist

MBBS, MRCOG, DFSRH | Islamabad

review-stars

128 Positive Reviews

Assalam o Alaikum
It is taken every three months. No pretest required, only history and basic check up.
Main side effect that you need to know is abnormal bleeding and delay in pregnancy for upto one year after stopping.


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Member

Post Owner


Thanks Dc for response

2 weeks ago

Gynecologist in Islamabad - Dr. Tasnim Zahid Hussain
Dr. Tasnim Zahid Hussain - Gynecologist

MBBS, MRCOG, DFSRH | Islamabad | Book Appointment

review-stars 7 Positive Reviews

You're welcome

2 weeks ago

Gynecologist in Lahore - Dr. Khurram Bashir

Dr. Khurram Bashir - Gynecologist

MBBS, FCPS Gynaecology & Obstetrics | Lahore

review-stars

15 Positive Reviews

there are two monthly n three monthly injections that can be had at most clinics n all hospitals. absolute contraindications :

known or suspected pregnancy, current or history of breast cancer, undiagnosed abnormal vaginal bleeding, severe liver disease or tumors, history of blood clots (VTE/DVT/PE), and active cardiovascular issues like stroke or ischemic heart disease, as these conditions pose significant risks that outweigh the contraceptive benefits, with a focus on safety for the patient. 

Key Absolute Contraindications:

Pregnancy: Known or suspected pregnancy (especially <6 weeks postpartum).

Breast Cancer: Current or history of breast cancer (hormone-sensitive).

Liver Issues: Severe liver disease, cirrhosis, or liver tumors (hepatoma/adenoma).

Blood Clots: History of deep vein thrombosis (DVT), pulmonary embolism (PE), or other thrombotic disorders.

Cardiovascular Disease: History of stroke, ischemic heart disease, or complicated valvular heart disease.

Undiagnosed Bleeding: Unexplained abnormal vaginal bleeding.

Allergies: Known hypersensitivity to the progestin itself. 

Other Important Considerations (May be Relative Contraindications/Precautions):

Smoking: Over 35 and a smoker (especially >15 cigarettes/day).

Hypertension: Poorly controlled high blood pressure (≥160/100 mmHg).

Diabetes: With complications like retinopathy, nephropathy, or neuropathy.

Migraines: With focal neurological symptoms.

Mental Health: History of certain mental health issues or brain tumors (meningioma). 

Always consult a healthcare provider to determine if progesterone injections are safe for you, as they will assess your complete medical history. 

Who can and cannot have medroxyprogesterone ... - NHS

Who may not be able to have medroxyprogesterone contraceptive injections. Medroxyprogesterone contraceptive injections are not suitable for some people. To make...



nhs.uk

Depot medroxyprogesterone acetate (DMPA) injections

27-Jul-2021 — When should DMPA injections be avoided? DMPA injections are contraindicated* in people with: ... Current breast cancer; use of hormonal contraceptive...



Best Practice Advocacy Centre New Zealand



Medical contraindications and issues for consideration in the use of once-a-month injectable contraceptives - PubMed

Absolute contraindications to injectable contraceptives include: * Current or suspected pregnancy * Estrogen-dependent tumors of the breast or genital tract Oth...



National Institutes of Health (NIH) | (.gov)

Gynaecology : Contraindications to the OCP

Absolute contraindications * < 6 wks postpartum. * smoker over the age of 35 (>15 cigarettes per day) * hypertension (systolic > 160mmHg or diastolic > 100mmHg)



The Royal Children's Hospital

Progestogen-only methods of contraception - Australian Prescriber

31-Jan-1999 — Progestogen-only methods are contraindicated in suspected pregnancy, breast cancer and undiagnosed vaginal bleeding. Giving DMPA to a woman with a se...



Australian Prescriber

Medroxyprogesterone Injection ER: Package Insert / Prescribing Info

14-Dec-2025 — Medroxyprogesterone acetate (DMPA) is a progestin used to prevent pregnancy. Contraindications for DMPA include: * Known or suspected pregnancy * Act...



Drugs.com



Depo Provera Fact Sheet

CONTRAINDICATIONS: Depo Provera should not be used in women with known or suspected pregnancy, undiagnosed vaginal bleeding, known or suspected breast cancer, b...



FSU | University Health Services



Who can get the contraceptive injection - NHS

The contraceptive injection may not be suitable if you have ever had: breast cancer, heart disease or stroke. a liver condition. unexplained bleeding between periods



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Gynecologist in Lahore - Dr. Khurram Bashir

Dr. Khurram Bashir - Gynecologist

MBBS, FCPS Gynaecology & Obstetrics | Lahore

review-stars

15 Positive Reviews

mostly these are safe for Pakistani population and mostly women leave them because of cycle stopping or unexpected spotting sometimes. their effectiveness is good


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Gynecologist in Islamabad - Dr. Mahwish Choudhry

Dr. Mahwish Choudhry - Gynecologist

MBBS, FCPS (Obstetrics & Gynaecology) | Islamabad

review-stars

22 Positive Reviews

There are other better and long term methods for contraception, kindly go for intrauterine devices or implant in arm, copper T is non hormonal and very effective , read about its mechanism of action, injections have many undesirable side effects


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Member

Post Owner


We research and find that copper T is sometimes harmful if he get replaced from his ace

2 weeks ago

Gynecologist in Islamabad - Dr. Mahwish Choudhry
Dr. Mahwish Choudhry - Gynecologist

MBBS, FCPS (Obstetrics & Gynaecology) | Islamabad | Book Appointment


No it happen ls one in thousands of patients , very rare, get it placed by a good greenstar clinic they do ultrasound after placing it n are experts

1 week ago

Homeopath in Lahore - Prof. Homeopathic Dr. Syed Atta E Rasool Bokhari

She will suffer like Aa bael muje maar.

Because I have cases
I am dealing with drug toxicity.
Mood swings and bleeding is visible complication side effect but there are many more.

Use condom that's safe for both.



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Gynecologist in Islamabad - Dr. Mahwish Choudhry

Dr. Mahwish Choudhry - Gynecologist

MBBS, FCPS (Obstetrics & Gynaecology) | Islamabad

review-stars

22 Positive Reviews

Copper IUCD get displaced very rarely, get it placed by an expert dr in greenstar clinic , they do ultrasound afterwards,


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