
S. MEC two) amid patients with being overweight (BMI ≥30 kg/m2). However, measuring excess weight and calculating BMI at baseline might be helpful for speaking about issues about any alterations in pounds and regardless of whether variations might be connected to use from the contraceptive process.
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Don't re-administer Depo-Provera CI pending assessment when there is a sudden partial or total lack of vision or if there is a sudden onset of proptosis, diplopia, or migraine. Do not re-administer if assessment reveals papilledema or retinal vascular lesions.
Having said that, measuring excess weight and calculating BMI at baseline may very well be practical for discussing considerations about any changes in excess weight and no matter whether alterations could possibly be relevant to use with the contraceptive system. (See steerage on stick to-up for DMPA customers for evidence on body weight attain with DMPA use.)
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Timing: The main DMPA injection could possibly be administered immediately if it in all fairness certain the patient is just not Expecting (Box 3). Watching for the patient's upcoming menstrual cycle is pointless.
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When combined with CEEs, MPA has long been linked to an increased threat of breast most cancers, dementia, and thrombus in the eye. Together with estrogens normally, MPA may perhaps boost the possibility of cardiovascular disease, by using a much better association when utilized by postmenopausal women also getting CEEs.
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DMPA could result in decreased bone density in premenopausal Ladies As well as in men when made use of devoid of an estrogen, specially at substantial doses, even though this appears to generally be reversible to a standard degree even following years of use.