Hampton, Mary Rucklos; McWatters, Barb; Jeffery, Bonnie
December 2000
Canadian Journal of Human Sexuality;2000, Vol. 9 Issue 4, p247
Academic Journal
A chart review of current and recent users of Depo-Provera at a community-based Canadian clinic documented the experiences of young women with this method of contraception and identified their reasons for choosing it and for either continuing or discontinuing use. A snapshot sample of active charts over a 3-month period yielded 40 visits of clients who had received an injection during that period and 19 who were prior users. Average age at first injection for the total sample (N = 59) was 19 years. All had previously used another method (put 65%, condom 31%), 38% had one or more prior pregnancies, and 15% had had an induced abortion. The primary reason for choosing Depo-Provera was convenience (primarily forgetting to take birth control pills) with effectiveness, pill side effects, post pregnancy, and regulation of periods cited less often. Satisfaction with the method was the major reason given for continuation and single or multiple side effects as the reasons for discontinuation. Side effects were reported by 21% three months after first injection and by 30-34% after each of the subsequent three injections. The high estimated one-year continuation rate of 83% was thought to be due to effective ongoing counselling since continuers also experienced side effects.


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