A 45-year-old woman using DMPA wishes to know her bone health risk. She has been using DMPA for 10 years. What is the FSRH recommendation regarding lo...

Question

A 45-year-old woman using DMPA wishes to know her bone health risk. She has been using DMPA for 10 years. What is the FSRH recommendation regarding long-term DMPA use and bone health?

Accepted Answer

Review the use of DMPA at least every 2 years and discuss the risks and benefits including BMD

Answer

Stop DMPA immediately as BMD loss is irreversible

Answer

No BMD concerns exist with DMPA at any age

Answer

Switch to a Cu-IUD as the only safe long-term option

Answer

A DEXA scan is mandatory after 5 years of use

uk-dfsrh MCQ (SBA): DMPA Long-Term Use BMD Review

A 45-year-old woman using DMPA wishes to know her bone health risk. She has been using DMPA for 10 years. What is the FSRH recommendation regarding long-term DMPA use and bone health?