A woman using depot medroxyprogesterone acetate asks about a possible long-term effect. Which information is appropriate?
Correct answer: A. Bone mineral density may decrease during use
- A. Bone mineral density may decrease during use
- B. Permanent infertility usually follows the injections
- C. Severe hypertension occurs in nearly every user
- D. Protection against sexually transmitted infections increases
Explanation
Depot medroxyprogesterone acetate may cause a reversible reduction in bone mineral density, so counselling should include lifestyle and follow-up considerations. It does not usually cause permanent infertility and, like other hormonal methods, does not protect against sexually transmitted infections.
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About Family Planning
Family planning covers fertility awareness, lactational amenorrhoea, condoms, oral pills, injectables, implants, intrauterine devices, emergency contraception, sterilisation and postpartum options. Questions address mechanisms, effectiveness, contraindications, adverse effects, counselling and follow-up, with careful distinction between contraception, emergency contraception and treatment for infertility.
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