Depo-Provera (The Shot)

What is it? How does it work?

The shot (brand name Depo Provera) is an injectable form of hormonal birth control. It is a rogesterone-only shot given every three months. The hormone keeps the ovaries from releasing eggs and thickens cervical mucus to block sperm from getting into the uterus. It also thins the lining of the uterus so that implantation is less likely to occur.

How effective is it?

• 99% effective for preventing pregnancy if obtained properly.
• The shot does not protect against HIV or other STIs

How do you use it?

The shots are injected by a health care provider into the woman’s arm, thigh, or buttocks every three months.

Pros

• The shot is very effective
• Fewer periods or no periods; less menstrual cramps
• Lower incidence of cancer of the lining of the uterus
• Can be used by women who cannot take estrogen (history of blood clots, high blood pressure, migraine headaches, or breastfeeding)
• Eventually, Depo-Provera can cause menstrual periods to stop. This is normal and is not a health risk.

Cons

• The shot can cause an increased risk for bone fractures or osteoporosis. As a result, women must take a calcium
• supplement every day and do weight-bearing exercise.
• It is recommended that the shot be used for no more than two years.
• Side effects may include irregular bleeding or spotting, increased appetite, weight gain, or headache.

Where can you get it?

The shot can be obtained at a doctor’s office or clinic and must be administered by a clinician.

When should you use it?

A woman must return to her clinician on time (every three months) for her injections. The shot does not protect against HIV and other STIs. A condom should be used along with the shot every time you have sex. Using condoms can prevent HIV and other sexually transmitted infections and it shows that you care about yourself and your partner.

What does it cost?

$45-$90 per shot plus clinic visit (for 3 months) depending upon insurance coverage and/or place of visit.

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