A 30-year-old woman receives depot medroxyprogesterone acetate (DMPA) 150 mg intramuscularly for contraception. She plans to conceive after discontinuation. What counseling regarding return of fertility is appropriate?
- A Fertility returns immediately after the 3-month dose wears off
- B Fertility is permanently impaired after 2 years of use
- C Return to fertility may be delayed; median time is about 10 months after the last injection, and up to 18 months in some women ✓
- D Return to fertility occurs within 6 weeks of the last injection
Correct answer: C. Return to fertility may be delayed; median time is about 10 months after the last injection, and up to 18 months in some women
Explanation
DMPA suppresses ovulation for an extended period. After discontinuation, return to fertility is delayed compared to other methods. The median time to conception is approximately 10 months after the last injection, and some women may experience amenorrhea and anovulation for up to 18 months.
Reference: WHO Medical Eligibility Criteria for Contraceptive Use, 5th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.