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Ahead of DMPA initiation, deliver counseling about opportunity variations in bleeding styles for the duration of DMPA use. Amenorrhea and spotting or mild bleeding are frequent with DMPA use, and large or prolonged bleeding can happen with DMPA use.
-IM injection: The 1st injection really should be supplied to the working day following the final active contraception pill, or at the newest, to the working day subsequent the final inactive contraception pill.
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Talk to the labeling of all concurrently-used medication to obtain even more information regarding interactions with hormonal contraceptives or maybe the opportunity for enzyme alterations.
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In case the individual really wants to discontinue DMPA at any time, supply counseling on substitute contraceptive procedures and initiate A different system whether it is sought after.
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