Injection

Benefits

  • Works for up to 13 weeks (depending on type used)
  • You don’t have to prepare for or interrupt sex
  • You don’t have to remember to take a pill everyday
  • Not affected by other medicines
  • May provide some protection against cancer of the womb and pelvic inflammatory disease
  • Suitable for women who can’t take oestrogen
  • May help with premenstrual symptoms
  • May reduce heavy or painful periods
  • Fertility returns to normal after the injection wears off.

The contraceptive injection contains the hormone progestogen and offers medium term prevention of pregnancy. It is the fifth most popular method of contraception in the UK.

Join ThePow forum

Thinking about the contraceptive injection? Join the conversation.

Share your story, ask others or tag @Dr_Paula on our contraception forum ThePOW.

*for typical use (effectiveness for perfect use 99%)
**lighter over time (70% people won’t bleed at all by the end of the first year)

How it works

How to use it

There are three types of injection available in the UK:

  • Depo Provera is the most common and lasts for 12 weeks
  • Sayana Press lasts for 13 weeks
  • Noristerat lasts for 8 weeks.

A doctor, nurse or clinician will inject you, either in the muscle of your bottom or upper arm (Depo Provera/Noristerat), or into the skin of the thigh or abdomen (Sayana Press).

Once you’ve had the injection, you don't have to think about contraception for the specified period, though you should make a note of when it will wear off.

Why it works

The injection prevents pregnancy by:

  • Preventing the ovaries from releasing an egg each month (ovulation)
  • Thickening the mucus in the neck of the womb, so it is harder for sperm to penetrate the womb and reach an egg
  • Thinning the lining of the womb, so there is less chance of a fertilised egg implanting into the womb.
1
2

Things to consider

The contraceptive injection does not protect you from STIs. You should use a condom as well if you think you are at risk of an STI.

It can take up to one year for your fertility and periods to return to normal after the injection wears off, so it may not be suitable if you want to have a baby in the near future.

Suitability

Most women can use the contraceptive injection, but your clinician will ask about your family and medical history to determine whether or not it is the best method for you.

The injection is not suitable for women who:

  • Are pregnant
  • Want to become pregnant within the next year
  • Want regular periods
  • Have bleeding in between periods or after sex
  • Are at risk of osteoporosis.

It may not be suitable for women who have or have had certain health conditions.

Side effects & risks

Common Rare
Short term:

Weight gain, headaches, mood swings, breast tenderness and irregular bleeding.

Allergic reaction to the injection is possible but rare.

Risk of a small infection at the site of the injection is rare.
Long term:

Periods may become more irregular or longer, or stop altogether. By the end of the first year of injection use 70% of women are having no bleeding at all.

Using Depo Provera affects your natural oestrogen levels, which can cause thinning of the bones if used for an extended time.

Irregular bleeding may continue for some months after you stop the injections.

Questions?

How quickly will the injection start to work?
Thumb up 16

If you have the injection during the first five days of your period, you will be immediately protected against becoming pregnant.

If you have the injection on any other day of your cycle, you will not be protected against pregnancy for up to 7 days. Use condoms or another method of contraception during this time.

Thumb up 16   Thumb down 0

What happens if I get the injection late?
Thumb up 15

If you think your next injection is late, use condoms until you know that your injection is definitely protecting you again.

If you have had unprotected sex and are worried you may need to use emergency contraception.

Thumb up 15   Thumb down 0

Why does the injection affect my periods?
Thumb up 19

The hormone in the injection prevents you ovulating and going through a normal menstrual cycle.

Thumb up 20   Thumb down 1

Does getting the contraceptive injection hurt?
Thumb up 4

It is similar to getting any other injection such as pre-travel vaccinations.

Thumb up 7   Thumb down 3

Will the contraceptive injection affect my future fertility?
Thumb up 5

It can take up to one year for your fertility and periods to return to normal after the injection wears off, so it may not be suitable if you want to have a baby in the near future.

Irregular bleeding may also continue for some months after you stop the injections.

Thumb up 5   Thumb down 0

What is the difference between the contraceptive injections?
Thumb up 8

The most commonly used injection available in the UK is the 12 week injection. The 8 or 13 week injections are just as effective but require more or less frequent visits to a health care provider.

Thumb up 10   Thumb down 2

I’ve had a serious health condition. Can I use the contraceptive injection?
Thumb up 1

The injection may not be suitable if you have or have had any of the following:

  • Liver disease
  • Risk factors for osteoporosis
  • Breast cancer
  • Systemic lupus erythematosus
  • If you are under 18 or over 50 years.

Speak to your GP about whether it is suitable for you.

Thumb up 1   Thumb down 0

Will there be any long term effects on my health?
Thumb up 3

Some research has shown Depo Provera is associated with a small loss in bone mineral density, which then returns to normal within a few years of stopping the injection.

Thumb up 4   Thumb down 1

Can I have the Injection after having a baby?
Thumb up 3

Yes, the injectable contraception can be used after having a baby.

Thumb up 3   Thumb down 0

Can I have the Injection while breastfeeding?
Thumb up 3

Yes, the injectable contraception can be used safely while you are breastfeeding and will not affect your milk supply.

Thumb up 4   Thumb down 1

I am approaching menopause, can I have the Injection?
Thumb up 4

Women over the age of 50 should consider alternative methods of contraception. Women approaching the menopause should discuss their risk of osteoporosis with their health care provider.

Thumb up 4   Thumb down 0

What if I have the injection and then do not find it suitable?
Thumb up 7

Once it is inserted you cannot remove the injection but its effects will wear off after 8-13 weeks, depending on the type used.

Thumb up 7   Thumb down 0

Where can I get it?

The injection is free on the NHS. It can be given by most sexual health clinics and some GPs. Talk to your clinician about whether it’s right for you. Your clinician will be able to tell you where you can get the injection nearby, if they can’t do it themselves.