Efficacy and acceptability of depo-medroxy progesterone acetate injection among Iraqi women


Objective: To determine the efficacy and acceptability of Depo-medroxy progesterone (Depo-Provera ) among the women using this method of contraception at Al-Yarmouk Teaching Hospital.Method: A preliminary cross sectional study and questionnaire analysis of 100 Iraqi women who had Depo-Provera as a method of contraception at the contraception clinic of Al Yarmouk teaching hospital over 6 months. Results: The mean age of the women was 31 years, and the mean parity was 6 There was no pregnancy reported during the period of use of contraceptive method which ranged from 3 months to 5 years. The side effects were mainly irregular spotting (68%), amenorrhea 9%, continuous bleeding pervaginum 5% , and menorrhagia 3% .The rest reported normal menstrual pattern .Irregular spotting was common in women who had used the method for less than 2 years while amenorrhea was the most common menstrual abnormality after 3 years of use. The other include weight gain, loss of hair, abdominal pain and backache. The side effects were not acceptable to 5% of the women and they tried other method of contraception. 20% of women get pregnant between 6 months to 2 years after stopping the injections.Conclusion: Depo-Provera is very effective form of contraception in our community. While a few of women 5% would try other methods if they were not happy with the side effects as long as desired prevention of pregnancy was guaranteed. Depo-Provera injection contraception. Key words: depo-medroxy progesterone acetate