The contraceptive injection is a shot that contains hormones, either a progestin alone, or a progestin and an estrogen together, that stop your body from releasing eggs and thickens the mucus at the cervix. You need one shot either once every month or once every three months from a healthcare provider. However once injected, it is not reversible, i.e. in case of side effects it cannot be stopped. The way it works is similar to the pill, or the ring, except you don’t have to remember to take it every day or week, but it probably isn’t the best choice for those scared of needles.
Firstly you’re going to need to talk to your healthcare provider. As with most contraceptives, they aren’t the ideal choice for everyone so getting advice from a professional is something we always recommend. If you decide the contraceptive injection is a method you’re interested in your healthcare provider will do it for you. Then, depending on the type of shot you get, you’ll just need to go back every month or three months for another top up and you’ll be highly protected in between.
PROS AND CONS
It lasts for 1 up to 3 months
It permits sexual spontaneity and doesn’t interrupt sex
It doesn`t require daily or weekly attention
It can offer an alternative to those affected by the hormone estrogen
It can be used when breastfeeding
It may reduce heavy and painful periods for some women
It requires keeping track of the number of month used
It may cause some people to suffer headaches and mood swings
It may cause headache, weight gain, abdominal discomfort
It may take up to one year for your period and fertility to return after stopping injection
It may cause disrupted periods
You may lose bone density if you get the shot for more than 2 years in a row
Does not protect against HIV infection (AIDS) and other sexually transmitted infections (STIs)
LEARN HOW TO TALK ABOUT IT WITH:
Your healthcare provider knows the subject better than anyone; get the right answers for you
They know you better than anyone, and they’ve been through it too
You’re in this together, and not just in the bedroom, be honest
Do I have to go to hospital for the injectable contraceptive?
The injection must be given by a healthcare provider. Depending on where you live, you can have the injection done at your local doctors or family planning clinic.
What if I miss an injectable contraceptive – will I get pregnant?
You do need to have the injection once every month or every three months, depending on the type of injection you have. The amount of hormone which is injected to prevent unintended pregnancy will only last around 4-12 weeks depending on the type, so if you miss an injection you will not be protected against pregnancy.
How many injectable contraceptive can you have?
If you are sexually active and do not currently wish to have children, you can continue having the injections to protect against pregnancy, providing you find the method suits you and you have regular check-ups with your doctor or healthcare provider.
Do monthly injections make infertile?
No. There may be a delay in regaining fertility after stopping monthly injections, but in time the woman will be able to become pregnant as before, although fertility decreases as women get older. The bleeding pattern a woman had before she used injectable contraceptives generally returns a few months after the last injection. Some women may have to wait a few months before their usual bleeding pattern returns.
What if I want to have children, will the injectable contraceptive affect my long-term fertility?
Periods and fertility may take up to a year to return after stopping injections, depending on the type of injectable, and this may vary from woman to woman.
Does the injectable contraceptive make you gain weight?
Some women do experience weight gain, if this happens to you, speak with your healthcare provider, it may be that an alternative form of hormonal contraception is better suited to you.
Should the dates for a woman’s repeat injections be based on when monthly bleeding starts?
Some women think that the next injection should only be given when the next monthly bleeding begins. Bleeding episodes should not guide the injection schedule. However, a woman should receive the injection every 4 weeks or every 12 weeks depending on the type. The timing of injections should not be based on her monthly bleeding.
Do monthly contraceptive injections change women’s mood or sex drive?
Generally, no. Some women using monthly injectables report these complaints. The great majority of injectables users do not report any such changes, however, and some report that both mood and sex drive improve. It is difficult to tell whether such changes are due to monthly injections or to other reasons. There is no evidence that injectable contraceptives affect women’s sexual behavior.
Will injectable contraceptives have an effect on my menstruation cycle?
When you use injectable contraceptives you may have bleeding and spotting between periods. The menstrual bleeding may vary from slight staining between menstrual periods to breakthrough bleeding, which is a flow much like a regular period. It occurs most often during the first few months of usage, but may also occur after you have been using the injectable contraceptive for some time. Such bleeding may be temporary and usually does not indicate any serious problems. It is important to continue using the injections on schedule. If the irregular bleeding or spotting is heavy or lasts for more than a few days, you should consult your doctor or healthcare provider.