Depo provera weight gain before and after


  • Answered: Does Depo Shot Cause Weight Gain?
  • Depo-Provera: An Injectable Contraceptive
  • Does Depo-Provera Cause Mood Changes?
  • Does birth control make you gain weight?
  • View Larger Image Depo-Provera DMPA , also known as the birth control shot, is a highly effective form of contraception that lasts for 3 months, and thus requires only 4 injections per year.

    DMPA contains a long-lasting form of depot medroxyprogesterone acetate that works as a contraceptive agent by preventing the ovaries from releasing an egg each month. Potential side effects of DMPA include bone density loss, weight gain, and mood worsening. Although depression is listed in the packet insert as a side effect of the injection, available research addressing this side effect are limited and contradictory.

    Three more recent studies have used more structured assessments of mood to evaluate whether there are mood effects of DMPA use. This is based primarily on a one large study of women who chose to use DMPA. Over the 12 month period, depression levels improved slightly in the women who continued using DMPA, and depression levels were unchanged in those who discontinued it. It is important to note, however, that in this study women who discontinued DMPA had slightly higher baseline depression scores than continuers.

    Furthermore, one of the limitations of this study is that it did not provide any information as to why such a large proportion of women discontinued DMPA use. If a significant proportion of those who discontinued did so because of mood worsening, we cannot conclude that DMPA use has no impact on mood. Of two other studies that have examined the relationship between DMPA use and depression, one found a negative effect on mood and the other reported no relationship.

    The first was a 3- year study of women which found that women using DMPA had an increase in depressive symptoms when compared with women not using DMPA. The second study of 39 adolescents found that over 1 year of continued use, DMPA was not associated with any mood changes.

    Although some women report mood worsening on DMPA, more research is needed to determine how common this side effect is and if women with a history of mood disorder are more susceptible to such a side effect. Women with a history of mood disorder should talk to their doctor about these risks and benefits before using DMPA. One option for women considering DMPA who are concerned about side effects is to have a short trial of oral medroxyprogesterone acetate Provera — the same medication that is in the DMPA injection.

    The advantage of administering a short trial of oral medroxyprogesterone acetate is that, if there is an adverse reaction, the oral medication can be stopped immediately, whereas the side effects of the long acting DMPA injection may linger. Obstet Gynecol. Depressive symptoms and Depo-Provera. Contraception ;

    By Linda Childers Aug. Grubb, MD, MPH Most people have heard the stories about women who started using a form of birth control only to watch the numbers on the scale slowly start to rise.

    In fact, some women even avoid taking hormonal birth control because they believe oral contraceptives like birth control pills , intrauterine devices IUDs , shots , and implants can cause weight gain.

    Does birth control make you gain weight? In most cases, birth control does not cause weight gain. Water retention Temporary side effects of birth control may include fluid retention, bloating, or an increase in muscle tissue or body fat.

    These are short-lived, and will go away in time. In fact, young women often start using contraception in late puberty or after puberty ends, right when they stop growing taller and normally start increasing their body fat content.

    When a patient is concerned about body weight after starting contraceptive pills, Dr. Irobunda will ask if anything else has changed in her life such as diet, activity levels, or even whether she is experiencing concerns at home or at work.

    Irobunda, who notes that exercising regularly and eating a healthy diet can prevent weight gain no matter what form of contraception a woman chooses. Older forms of birth control Many of the misconceptions about birth control and weight gain began as a result of older birth control pills that contained higher levels of estrogen hormones. One study found that birth control pills developed in the s contained micrograms mcg of the estrogen mestranol—whereas newer low-dose birth control pills only contain lower levels of estrogen mcg.

    What birth control options make you gain weight? There is one birth control option that has been shown to cause long-term weight gain in some women: hormonal injections. Irobunda says. If weight gain is a concern, you should speak with your provider about alternative birth control options, such as the pill, the ring, the implant, or an IUD, rather than the shot.

    So, for some women, the shot is a great contraception option if they continue to eat healthy foods and portion sizes and stay active. The pill, the patch Xulane , the ring Nuvaring , the implant Nexplanon , and IUDs such as Mirena or Paragard are all birth control methods that are unlikely to cause any significant weight gain.

    Of course, there are always exceptions to the rule. Studies have shown that the implant is unlikely to cause weight gain, but some users report it. Ollendorff says. Irobunda agrees.

    Furthermore, one of the limitations of this study is that it did not provide any information as to why such a large proportion of women discontinued DMPA use. If a significant proportion of those who discontinued did so because of mood worsening, we cannot conclude that DMPA use has no impact on mood.

    Answered: Does Depo Shot Cause Weight Gain?

    Of two other studies that have examined the relationship between DMPA use and depression, one found a negative effect on mood and the other reported no relationship. The first was a 3- year study of women which found that women using DMPA had an increase in depressive symptoms when compared with women not using DMPA. The second study of 39 adolescents found that over 1 year of continued use, DMPA was not associated with any mood changes.

    Although some women report mood worsening on DMPA, more research is needed to determine how common this side effect is and if women with a history of mood disorder are more susceptible to such a side effect.

    Women with a history of mood disorder should talk to their doctor about these risks and benefits before using DMPA. One option for women considering DMPA who are concerned about side effects is to have a short trial of oral medroxyprogesterone acetate Provera — the same medication that is in the DMPA injection. The advantage of administering a short trial of oral medroxyprogesterone acetate is that, if there is an adverse reaction, the oral medication can be stopped immediately, whereas the side effects of the long acting DMPA injection may linger.

    Obstet Gynecol. When received on schedule, Depo Shot is administered every three months, or four times a year.

    Depo-Provera: An Injectable Contraceptive

    Other birth control methods, like the pill, must be taken daily to be effective. NuvaRingwhile still much lower in maintenance than the birth control pillstill requires the user to change the ring every few weeks, and check to make sure the ring is still in place. Doing it at home is a huge benefit, as you will not need to make an appointment to see your doctor. Those with busy schedules may not be able to find a suitable time to make an appointment, which may then result in a missed dose.

    Does Depo-Provera Cause Mood Changes?

    Giving yourself the shot at home helps eliminate that obstacle. Easier Periods When received consistently and on schedule, users of Depo Shot can expect lighter and less painful periods. When used for over 12 months, menstrual periods may stop altogether, which is a positive outcome for many women.

    When Depo Shot is stopped, the ability to become pregnant returns.

    Does birth control make you gain weight?

    It may, however, take months before users of Depo Shot can become pregnant after stopping it. If you are looking into birth control options, but wish to get pregnant sometime soon, speak to your doctor or medical professional, as Depo Shot may not be the best option for you at this time.

    To learn more, you can read how Depo Provera works, its pros and cons.


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