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Conception after depo-provera

by Dr Howard Lee

question
I’m 22 and trying to conceive. I already have one son who is nearly three. After using Depo-Provera for two years I was due for my next injection in March but decided to miss it because I want another child. Since I came off, I’ve been bleeding almost constantly. I have been to see my doctor who has referred me to a specialist. What’s happening to me, and will I be able to conceive again?

Thanks, Natasha

answer

Dear Natasha

Depo-Provera is used widely and regarded as a very good form of a reversible birth control. It works by preventing ovulation for up to 12 weeks after a single injection. Unfortunately, irregular bleeding is a very common side effect, and it may change to become ‘no bleeding at all’. After the last injection, most women who manage to become pregnant do so within a year, but in some cases pregnancy may take even longer. This is usually because there’s a residual suppression of ovulation – with periods remaining more irregular than those that existed before the injection was started. The fact that you still have problems with bleeding continuously will stop you from getting pregnant. Usually, when contraceptive treatment has produced ovary dysfunction it can eventually be returned to normal through use of fertility-type hormones. This will be discussed in detail by your specialist. He or she will check over all of the relevant areas, and then be able to help you. I am sure that you will, eventually, manage to become pregnant.
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