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Depo provera consent form

Depo provera consent form 2026

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The document is a consent form for the use of Depo-Provera as a birth control method. It outlines the benefits, risks, and important information regarding its administration, effectiveness, potential side effects, and the necessity of regular injections. The patient acknowledges understanding this information and voluntarily consents to use Depo-Provera.

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What is the Depo-Provera injection form?

PHARMACEUTICAL FORM DEPO-PROVERA 150 mg/mL Injection (depot) is a white, aqueous, suspension containing medroxyprogesterone acetate (MPA) as the active ingredient.

What forms does Depo-Provera come in?

Depo-Provera CI for IM injection is available in vials and prefilled syringes, each containing 1 mL of medroxyprogesterone acetate sterile aqueous suspension 150 mg/mL.

What is the policy for Depo-Provera?

This contraceptive option is a shot thats given on a regular schedule (every three months). It doesnt require any daily action and is very effective when taken ing to the schedule. Depo-Provera is injected into a womans arm or buttocks to prevent pregnancy. The medication is typically given every 12 weeks.

What is the protocol for Depo-Provera?

Depot Medroxyprogesterone Acetate (DMPA) is a progestin contraceptive injected intramuscularly (within a muscle) or subcutaneously (beneath the skin) every 11 to 13 weeks. This method is 96% effective at preventing pregnancy in typical users and is 99% effective when used perfectly.

What are the guidelines for Depo-Provera?

Depo-Provera injections should be given every three months. If you wait longer than 13 weeks between injections, you might need to take a pregnancy test before your next injection.

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How long can you safely be on Depo-Provera?

Medroxyprogesterone injections are sometimes stopped after 2 years, but you can keep having them for longer. If you stay on medroxyprogesterone injections for more than 2 years a doctor may suggest a bone scan to check the strength of your bones.

What are the recommendations for Depo-Provera?

The recommended dose is 150 mg of Depo-Provera CI every 3 months (13 weeks) administered by deep IM injection in the gluteal or deltoid muscle. Depo-Provera CI should not be used as a long-term birth control method (i.e. longer than 2 years) unless other birth control methods are considered inadequate.

Depo provera consent form 2026

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What is the Depo-Provera injection form?

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