2 weeks later i had spoting the the next week a more bleeding like a period! Can i be pregnant!
Hello naynay, the easiest way to know is to take a home pregnancy test. The results can be reliable if taken correctly. If you are pregnant please get some counseling and see a doctor to protect your health.
Be very careful with birth control. Always use it unless you intentionally want to become pregnant. There is no safe time during the month, including when you have your period.
Depo Provera should be given for the first time within the first 5 days of starting your menstrual period, or within the first 5 days after giving birth, if you are not breastfeeding, or at the 6th week after giving birth, if you are feeding your baby only breastmilk. Depo-Provera may be given at other times than those listed above, but you will likely need to have a pregnancy test first to show that you are not pregnant.
If given in this timeframe, you should be protected from pregnancy right away. One of the biggest complaints I have seen regarding Depo Provera is irregular bleeding, especially at the start of therapy and weight gain. Most women can expect irregular bleeding, breakthrough bleeding and just generally unpredictable bleeding and for some women this can go on for several months. If a woman can "stick it out" and continue with the medication, she will usually stop bleeding altogether. Many women find this their favorite part of Depo-the convenience of no more periods! for other women though, they find this just too nerve wracking. Depo is VERY effective so pregnancy is not something to be worried about even with the lack of periods. As long as you get your injections at regular intervals and get them ON TIME, it is very rare to get pregnant while on Depo, in fact the rate is 99-99.7% effective. There are a few medications that can interfere with the effectiveness of Depo. Mainly these are enzyme inducers and antibiotics. Here are a few of the medications listed as interfering with effectiveness: barbiturates, bosentan, carbamazepine, felbamate, griseofulvin, oxcarbazepine, phenytoin, rifampin, St. John's wort, topiramate. This is not a complete list so be sure to ask your pharmacist if any medications you currently take, or when you are getting a new one filled, if it could interact with your Depo Provera. If it is one that can decrease the effectivenss, you will need to use a barrier back up like condoms while you are on the medication and for at least a week after you finish to avoid becoming pregnant.
It sounds to me like you are experiencing normal effects of Depo Provera. Here is some of what the literature has to say regarding bleeding while on Depo Provera:
How will Depo-Provera CI change my periods?
Change in normal menstrual cycle. The side effect reported most frequently by women who use Depo-Provera for birth controls is a change in their normal menstrual cycle. During the first year of using Depo-Provera, you might have one or more of the following changes:
irregular or unpredictable bleeding or spotting
an increase or decrease in menstrual bleeding
no bleeding at all. In clinical studies of Depo-Provera, 55% of women reported no menstrual bleeding (amenorrhea) after one year of use and 68% of women reported no menstrual bleeding after two years of use.
During the time you are using Depo-Provera for birth control, you may skip a period, or your periods may stop completely. If you have been receiving your shot of Depo-Provera regularly every 3 months, then you are probably not pregnant. However, if you think that you may be pregnant, see your health care provider.
Unusually heavy or continuous bleeding is not a usual effect of Depo-Provera and if this happens you should see your health care provider right away.
With continued use of Depo-Provera, bleeding usually decreases and many women stop having periods completely. When you stop using Depo-Provera your menstrual period will usually, in time, return to its normal cycle.
The most common side effects of Depo-Provera include:
-irregular vaginal bleeding, such as lighter or heavier menstrual bleeding, or continued spotting,
-weight gain. You may experience weight gain while you are using Depo-Provera. About two-thirds of the women who used Depo-Provera in the clinical trials reported a weight gain of about 5 pounds during the first year of use. You may continue to gain weight after the first year. Women who used Depo-Provera for 2 years gained an average of 8 pounds over those 2 years.
Tell your health care provider if you have any side effect that bothers you or does not go away.
This medication may cause serious bone loss. The risk of bone loss increases with longer use of this medication. This bone loss may be permanent even after you stop using medroxyprogesterone injection. This medication should not be used for longer than 2 years unless other birth control methods will not work for you. The years of adolescence and early adulthood are important for your body to build healthy bones. Use of this medication may increase the risk of broken bones when you are older. Discuss with your doctor the risks and benefits of this medication and other birth control choices.
Keep all your medical/lab appointments. Your doctor may test your bone density while you are using this medication. Be sure to get enough vitamin D and calcium in your diet. Consult your doctor or pharmacist to determine whether you need calcium/vitamin D supplements to help keep your bones healthy.
Use of this medication does not protect you against sexually transmitted diseases (e.g., HIV, hepatitis B, gonorrhea). Consult your doctor or pharmacist if you have any questions.
This medication is used to prevent pregnancy. Medroxyprogesterone is like a natural hormone made by the body called progesterone. It works by preventing the growth and release of a mature egg (ovulation), and changing the womb to make it more difficult for an egg to meet sperm (fertilization) or for the fertilized egg to attach to the wall of the womb (implantation).
These are not all the possible side effects of Depo-Provera CI. For more information, ask your health care provider or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other information should I know before choosing Depo-Provera CI?
Pregnancy. When you take Depo-Provera CI every 3 months, your chance of getting pregnant is very low. You could miss a period or have a light period and not be pregnant. If you miss 1 or 2 periods and think you might be pregnant, see your health care provider as soon as possible. You should not use Depo-Provera CI if you are pregnant. However, Depo-Provera CI taken by accident during pregnancy does not seem to cause birth defects.
HOW TO USE:
Read the Patient Information Leaflet provided by your pharmacist before you start using this product and each time you get a refill. The leaflet contains very important information. If you have any questions, consult your doctor or pharmacist.
The container should be shaken well before each injection. This medication is given by injection into a muscle (upper arm or buttock) as directed by your doctor once every 3 months (13 weeks). The first injection should be given during the first 5 days of your menstrual period to make sure you are not pregnant.
If you have recently given birth, the first injection should be given within 5 days after delivery if you are not breast-feeding and during the sixth week after delivery if you are breast-feeding. Talk with your doctor about the best time to schedule your first injection.
If you are giving this medication to yourself at home, learn all preparation and usage instructions from your health care professional. Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid. Learn how to store and discard medical supplies safely.
It is very important that you have an injection every 3 months. If more than 13 weeks pass between injections, you may become pregnant. You may need a pregnancy test to make sure you are not pregnant before getting another injection. Other birth control methods (e.g., contraceptive sponge, diaphragm, condom) must be used to protect you from getting pregnant until you can get the next injection.
Hope this information helps some! I doubt that you are pregnant so no worries!! As the other poster mentioned, you may want to do a pregnancy test just for peace of mind if you want. Also again, be sure to discuss all concerns and questions with your health care provider. The only stupid question is the unasked one!! This is your providers job to be sure that you are well informed but in these days of so many patients per provider and lack of time for good education, one must become proactive in our health and research medications and treatments. There IS a lot of good info on the web but be sure that you get your info from a reliable source. Sources that are trying to sell you on a product are often not reliable sources. Sources that end in "dot gov" are usually reliable sources of information.
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