VIYA is here to answer all your questions about Self-Inject Contraceptive
Have questions?
We are here to help you.
Why am I having prolonged periods after using self-inject?
It is normal for hormonal methods such as DMPA-SC to change users’ menstrual cycles, and women’s experiences with this will vary. If your experience of menstrual side effects has been negative, consult with a medical professional and consider switching methods.
How long does it take to return to fertility after using SI?
On average, fertility returns 10 months after the last injection date, but the range is 4-12 months.
Is this contraceptive safe for older women?
Yes. DMPA-SC is safe for women of reproductive age, including older women. However, you should check whether you have underlying health conditions that could make use less safe.
Is this contraceptive safe for women who have not given birth?
Yes. DMPA-SC is equally suitable for mothers and women who have not yet given birth.
Why am I having vaginal infection?
There could be many reasons for this, and it is best to seek medical attention promptly for an accurate diagnosis. DMPA-SC is not known to cause vaginal infections, but it also does not protect one against STIs. Contact your medical provider if symptoms persist.
Why do I have irregular periods?
It is normal for hormonal methods such as DMPA-SC to change users’ menstrual cycles, and users’ experiences with this will vary. If your experience of menstrual side effects has been negative, consult with a medical professional and consider switching methods.
I used the contraceptive and I have been bleeding, is it safe to have sex during this period?
DMPA-SC offers three months of guaranteed protection. It is very important to keep track of your injection dates in order to know when your protection will wear off. If it has been less than three months since your last injection, you are not at risk of pregnancy.
I gained weight after using the contraceptive, what should I do?
Weight gain is a normal side effect of hormonal contraceptive methods, although not all users experience it. If your experience with this side effect has been negative, consult with a medical professional and consider switching methods.
I administered the injection on the left upper arm, is it okay? Where to inject?
It’s ok to inject in the upper arm, however physicians usually recommend injecting in the thigh or abdomen for best results.
I didn't have a period for a full three months after the injection. Is that normal?
It is normal for hormonal methods such as DMPA-SC to change users’ menstrual cycles, and women’s experiences with this will vary. If your experience of menstrual side effects has been negative, consult with a medical professional and consider switching methods.
More FAQs
How often do I need to use self-inject?
For continuous protection, self-inject one unit every three months.
Where can I get self-inject?
Self-inject is available at most family planning clinics. Our clinic locator tool can guide you to the nearest facility: locator.psi-connect.org
How can I learn more about the advantages and disadvantages of different methods of family planning?
The best way is to speak with a family planning provider about your preferences and needs, however here are some resources that you may find helpful.
Are there family planning methods available with a one-month duration instead of three months?
Some methods to consider for this duration of protection include the patch and the ring, however availability of these methods may be limited. It is best to speak with a provider in your area who can tell you which methods are in stock. helpful.
When does self-inject start working after the first injection?
This depends on what stage of your menstrual cycle you are in. If used within the first seven days after your period, you will be protected, whereas if you inject after that, you should use a backup contraceptive method for the first seven days after injecting.
What are the side effects caused by self-inject?
The most common side effect is changes to the menstrual cycle (irregular and/or prolonged bleeding in the first 3 months), and no monthly bleeding, infrequent or irregular bleeding at one year). Other side effects that some women may experience include weight gain, headaches, dizziness, changes in mood and sex drive, and abdominal bloating and discomfort.
Do all family planning methods disrupt the normal menstrual cycle, or are there some methods that don't?
This happens mainly with hormonal methods. For some women, who experience less pain and bleeding as a result, the side effect is a positive one – but for other women the experience is more adverse. Consider a using a non-hormonal method if you do not want your menstrual cycle to change.
Is it safe to switch from Depo-Provera (DMPA-IM) to self-inject (DMPA-SC)?
Yes. This is a great option for women who would like to make less frequent visits to their provider. You can keep DMPA-SC units at home and self-inject them after you’ve received training.
I'm experiencing spotting after using DMPA, is this normal and is it a problem?
That is normal, and isn’t a problem.
What are the drawbacks of using DMPA-SC?
DMPA-SC is a highly effective, safe, and popular method. However, it changes the menstrual cycle which is a drawback for some women.
More FAQs
Once I stop using self-inject, how long will it take me to get pregnant?
On average, fertility returns 10 months after the last injection date, but the range is 4-12 months.
If I recently had a baby, when can I start using self-inject?
DMPA-SC is not recommended for breastfeeding women before 6 weeks after giving birth, otherwise if not breastfeeding, it is fine to use it right after giving birth.
How do I dispose of my used injection?
You should store used DMPA-SC units in a puncture-proof container and dispose of them in a latrine or return them to a health worker.
How long will I experience side effects from self-inject?
This varies by individual as well as how long you’ve been using it. It can take a few months for your menstrual cycle to return to its previous rhythm, however other side effects stop much sooner than that.
How much does the self-injection cost?
It is free if accessed through a public provider.
What are the chances of getting pregnant while using self-inject?
DMPA-SC is one of the most effective contraceptive methods available. It is 99% effective in preventing pregnancy.
Where can I find guidance on how to track my menstrual cycle (including period dates and ovulation)?
You can use Standard Days Method (SDM) or Moon beads also known as CycleBeads a, color-coded string of beads to track your menstrual cycle, your fertile days (when you are ovulating) and non-fertile days (when it is safe to have sex if you are trying to prevent pregnancy). Moonbeads can be found at most pharmacies, drug shops, supermarkets and general merchandise outlets. If you have a smartphone, you can download this app from Apple and Google pay stores at no cost.
Does the self injection cause infertility?
No. Its effects are temporary, and fertility will return within 4-12 months after your last injection (with an average of 10 months).
I took my injection but had unprotected sex soon thereafter (before the period mentiond by the doctor). What should I do?
In what part of your menstrual cycle were you in when you took the injection? If it was 5 days or less after your period, then you were definitely protected against pregnancy. If it was after that, then there is some risk of pregnancy if you had unprotected sex less than 7 days after the injection. Depending on the timing of the injection relative to your cycle and when you had sex, it might be a good idea to take a pregnancy test.
I have been using self-inject for a year. Can I conceive if I stop using SI?
Yes. On average, women who stop using DMPA-SC can conceive 10 months later, but the range is 4-12 months.
More FAQs
Who should not use self-inject?
Women with breast cancer, liver disease, certain cardovascular conditions, or undiagnosed vaginal bleeding should avoid using DMPA-SC. If you’re not sure then it’s a good idea to speak with a doctor.
What is Depo, and how does it differ from self-injection?
Depo-Provera© is the Pfizer brand name of the intra-muscularly (IM) injectable form of the hormonal contraceptive Depot medroxyprogesterone acetate (DMPA). There are currently two injectable contraceptive products that both contain DMPA. In addition to DMPA-IM, which can only be injected by a healthcare provider, there is sub-cutaneous DMPA or DMPA-SC, and this can be injected by either a provider or by oneself (self-inject) after receiving initial training. DMPA-SC is also known by its Pfizer brand name Sayana Press©. Different people use the term ‘Depo’ in different ways and it’s possible that they are referring to Depo-Provera© specifically, or more broadly to any form of Depot medroxyprogesterone acetate, which could include DMPA-SC / self-inject / Sayana Press© as well.
Could you explain the distinctions between IM (intra-muscular) and SC (subcutaneous) injections?
Intra-muscular injection requires the use of a standard syringe (like those used for vaccines) and it has a longer needle than sub-cutaneous injection, which only pierces the skin and does not penetrate muscular tissue. DMPA-SC uses a small ‘unit’ known as the UnijectTM, which clients can use to inject themselves after initial training. Many users consider SC to be less painful than IM, although this is a subjective experience that may vary by individual. SC can be injected by either a healthcare provider or by oneself, whereas IM can only be injected by a medical professional.
I've come across the term 'depo' previously; does it correspond to DMPA (Depo-Provera)
Different people use the term ‘Depo’ in different ways and it’s possible that they are referring to Depo-Provera© specifically, or more broadly to any form of Depot medroxyprogesterone acetate, which could include DMPA-SC / self-inject / Sayana Press© as well.
Your health,
on your time
Get access to the VIYA network of 20+ vetted medical professionals and clinics. Additionally, we are available to help you via chat, phone, and video call! With specialists in many categories, we’ll find a professional for your needs. Your well-being is important to us, and we’re committed to being your trusted partner on your health journey. Contact us today and let us guide you towards a healthier and happier life.
VIYA FAQs