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If you have new or unusual vaginal bleeding, you should discuss this with your doctor.
Some studies have shown that there can be a loss of bone density (bone thinning) with extended use of the contraceptive injection.
It is between 99% and 94% effective which means that between one and six women in every hundred who are using the contraceptive injection will become pregnant in a year.
In practice it is more effective than the oral contraceptive pill because you only need to remember to have the injection every 12 weeks, instead of taking a pill every day. It is safe to use the contraceptive injection while you are breastfeeding, although you should be aware that small amounts of the hormone will pass to the baby in the breast milk.
This includes women: The doctor or health care provider will discuss whether the contraceptive injection is the best method for you.
The contraceptive injection is given as an injection into the buttock, or sometimes into the muscle of the upper arm.
Each injection of DMPA provides protection against pregnancy for 12 weeks.
It is usually given during the first five days of the menstrual cycle (the first day of bleeding with your period is day one).
When you have the injection during the first five days, it prevents pregnancy straight away.
If you are sexually active it is important to regularly visit a health worker for sexual health checks, and to discuss any sexual health questions you may have.
A sexual health check is a check-up by a health worker for sexual health issues, like sexually transmissible infections (STIs).Condoms can be used at the same time as the contraceptive injection, to help protect against STIs.