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Depo provera consent form

Depo provera consent form 2025

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The document is a consent form for the use of Depo-Provera as a method of birth control. It outlines the benefits, risks, and important information regarding the administration and effects of Depo-Provera, including its effectiveness, potential side effects, and the importance of following a prescribed schedule for 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.