A 29-year-old woman using DMPA injections for 6 years attends the GP. She has been amenorrhoeic throughout. She now wishes to conceive and asks how qu...

Question

A 29-year-old woman using DMPA injections for 6 years attends the GP. She has been amenorrhoeic throughout. She now wishes to conceive and asks how quickly fertility returns after stopping DMPA. Which is the most accurate advice?

Accepted Answer

There may be a delay in return of fertility of up to 12 months (and occasionally longer) after the last DMPA injection - this is an important consideration for women planning pregnancy

Answer

Fertility returns immediately after the last injection wears off

Answer

Fertility never returns after long-term DMPA use

Answer

Fertility returns within 4 weeks

Answer

She should take hormone supplements to restore fertility

uk-drcog MCQ (SBA): Delayed Fertility Return After DMPA

A 29-year-old woman using DMPA injections for 6 years attends the GP. She has been amenorrhoeic throughout. She now wishes to conceive and asks how quickly fertility returns after stopping DMPA. Which is the most accurate advice?