Contraceptive injection

Overview of Treatment

Contraceptive injection is a common method of contraception, primarily by injecting specific hormones to prevent pregnancy. This method is simple, convenient, and long-lasting, making it popular among many women.

The core of contraceptive injection lies in its hormonal component, usually synthetic progestin, which effectively suppresses ovulation and prevents sperm from fertilizing eggs.

Compared to other contraceptive methods, the contraceptive injection offers advantages such as ease of operation and convenience, especially suitable for women who are not adept at daily medication or changing contraceptive devices.

Types and Mechanisms of Treatment

Contraceptive injections are mainly divided into two types: single-dose injections and cyclic injections. Single-dose injections are typically effective for one month per injection, while cyclic injections require injections at regular intervals to maintain contraceptive effects.

Mechanistically, contraceptive injections involve injecting synthetic progestin, which disrupts the normal menstrual cycle of women. These hormones inhibit the function of the hypothalamus and pituitary gland, thereby reducing ovarian ovulation, and may even stop ovulation altogether.

Additionally, contraceptive injections thicken cervical mucus, preventing sperm from entering the uterus, further enhancing contraceptive effectiveness. This multi-layered mechanism makes the contraceptive injection a highly effective and reliable method of contraception.

Indications

Primarily used for contraception, contraceptive injections are not limited to this purpose. Some women with irregular menstruation, dysmenorrhea, or endometrial hyperplasia may also be recommended by doctors to use contraceptive injections to improve symptoms.

For women allergic or intolerant to other contraceptive methods, the contraceptive injection provides a safe and effective alternative. Moreover, it is used to control certain hormone-related conditions such as uterine fibroids.

Usage and Dosage

Contraceptive injections are usually administered by a doctor or healthcare professional, with the injection site typically in the deltoid muscle or buttocks. The frequency depends on the specific product, commonly once a month or once every three months.

The dosage is determined based on individual health status and medical advice. Generally, the dose is kept at the lowest effective level to ensure contraceptive efficacy while minimizing potential side effects.

The first injection is usually administered on the first day of the menstrual cycle to ensure immediate contraceptive effect. Subsequent injections should be given on schedule as per the doctor’s instructions; otherwise, the contraceptive effect may be compromised.

Benefits and Advantages

  • High efficacy: The contraceptive effectiveness of the injection approaches 100%, far exceeding some other methods.
  • Convenience: Only periodic injections are required, eliminating the need for daily pills or procedures.
  • Long-term effectiveness: A single injection can provide contraceptive effects for several weeks or months.
  • Symptom relief: For some women, the injection can reduce dysmenorrhea and irregular menstruation.

Risks and Side Effects

Common side effects include weight gain, breast swelling, headaches, and mood swings. These effects are usually mild, but if they persist or worsen, medical attention should be sought promptly.

Some women may experience menstrual irregularities, such as delayed or missed periods, after using the injection. This usually recovers after stopping the medication, but it may take several months.

Long-term use of the injection may affect bone health, such as reducing bone mineral density. Therefore, doctors may recommend regular bone health assessments.

Precautions and Contraindications

Contraceptive injections are not suitable for all women, especially those with severe liver disease, a history of thrombosis, or certain cancers. Pregnant women and breastfeeding women should also avoid using the injection.

After injection, women should monitor their body responses, and if severe side effects or abnormal symptoms occur, they should seek medical attention immediately.

Interactions with Other Treatments

Contraceptive injections may interact with certain medications, affecting their efficacy or increasing the risk of side effects. For example, anticonvulsants and some antibiotics may reduce the effectiveness of the injection.

Women using the injection should inform their doctor of all medications they are taking to receive appropriate advice and adjustments.

Effectiveness and Evidence

Extensive clinical trials have demonstrated that the contraceptive injection is highly effective, with a Pearl Index (PI) below 1, indicating that fewer than 1 in 1000 women using it will become pregnant unintentionally.

Furthermore, the injection has shown good clinical results in alleviating dysmenorrhea and menstrual irregularities, with many women reporting significant symptom improvement after use.

Alternatives

  • Birth control pills: Daily hormonal tablets offering high contraceptive efficacy.
  • Intrauterine device (IUD): Replaced annually, providing long-term contraception.
  • Condoms: Used during each sexual activity, preventing pregnancy and sexually transmitted infections.

 

Frequently Asked Questions

How long does the effect of the contraceptive injection last?

The effect of the contraceptive injection usually lasts for several months, depending on the type and dosage of the medication. Generally, some injections last about 3 months, while others may last longer. It is recommended to follow the doctor’s advice and return for regular check-ups to ensure continuous contraceptive effectiveness.

What lifestyle adjustments should be made after receiving the injection?

After receiving the injection, women should avoid vigorous exercise to prevent unnecessary bleeding or discomfort. Additionally, maintaining a balanced diet rich in vitamins and minerals is important for overall health. If there are other health issues such as hypertension or diabetes, consult with a doctor and adjust lifestyle accordingly under medical guidance.

What are the side effects of the contraceptive injection?

Side effects may include pain, swelling, or redness at the injection site, irregular menstruation, weight gain, and other mild effects. These typically diminish over time. If severe side effects such as persistent abdominal pain or bleeding occur, seek medical attention immediately and consult with your doctor.

How high is the success rate of the contraceptive injection?

The contraceptive injection is highly effective, with a success rate of over 99%. However, the effectiveness depends on proper use and adherence to schedule. Users should follow the doctor’s instructions for regular injections and consult their healthcare provider if there are any doubts or concerns.

How long does it take to recover normal menstrual cycles after the injection?

The time for menstrual cycles to return to normal after the injection varies among women. Some may resume normal cycles within a few months after stopping, while others may take longer. Regular follow-up with the doctor is recommended to assess recovery and adjust contraception plans as needed.