All ok until 3 weeks ago I started my period which was fine. I was kind of hoping I wouldn't get any bleeding :0 Any advice from ladies out there? 5. A woman should not be worried if she has not become pregnant even as much as 12 months after stopping use. B leeding on injection. was on depo-provera for 2 years. Secondly, be aware that bleeding after a steroid injection may not show up immediately. No. Hi have been on the injection for 6 years .now I went on a direct using duramine and all of a sudden i started bleeding .should i be worried? Will the fetus be harmed if a woman accidentally uses monthly injectables while she is pregnant? This occurred for 3 months 'on the depo provera'. You can have the injection immediately after a miscarriage or an abortion and will be protected against pregnancy straight away. When birth control causes abnormal vaginal bleeding. 2. Once 12 weeks have passed with no injection, the hormones slowly wear off over time. No. There may be a delay in regaining fertility after stopping monthly injectables, but in time the woman will be able to become pregnant as before, although fertility decreases as women get older. 9. The contents of this website are the sole responsibility of CCP. After the first few months it is more common for the periods to become lighter than usual, although they may be irregular. is this normal? It hasn't changed my pain in anyway, in fact it's made it worse. 3. Yes. Have you entered our Health of the Nation survey? If you are concerned about the vaginal bleeding then it is important to have a gynaecological examination. Mini pills or progestin-only pills are another method of contraception that may lead to breakthrough bleeding and it may occur if you miss taking your pill or don’t take it at the same time every day. In the first year, the average amount of weight gain is 5 pounds. Questions and Answers About Monthly Injectables, From the United States Agency for International Development, Collaborating and Supporting Organizations, Human Rights: Family Planning Providers’ Contribution, Side Effects, Health Benefits, and Health Risks, Facts About Combined Oral Contraceptives and Cancer, Who Can and Cannot Use Combined Oral Contraceptives, Medical Eligibility Criteria for Combined Oral Contraceptives, Extended and Continuous Use of Combined Oral Contraceptives, Questions and Answers About Combined Oral Contraceptives, Correcting Misunderstandings (see also Questions and Answers), Who Can and Cannot Use Progestin-Only Pills, Medical Eligibility Criteria for Progestin-Only Pills, Questions and Answers About Progestin-Only Pills, Who Can Use Emergency Contraceptive Pills, When to Start or Restart Contraception After ECP Use, Questions and Answers About Emergency Contraceptive Pills, Delivering Injectable Contraception in the Community, Who Can and Cannot Use Progestin-Only Injectables, Medical Eligibility Criteria for Progestin-Only Injectables, Giving Intramuscular Injection with a Conventional Syringe, Giving the Injection with Subcutaneous DMPA in Uniject (Sayana Press), How to Give Yourself an Injection with Sayana Press, New Problems That May Require Switching Methods, Questions and Answers About Progestin-Only Injectables, Who Can and Cannot Use Monthly Injectables, Medical Eligibility Criteria for Monthly Injectables, Suministro de parches anticonceptivos combinados, Combined Vaginal Ring: Only the Essentials, Progesterone-Releasing Vaginal Ring: Only the Essentials, Providing the Progesterone-Releasing Vaginal Ring, Medical Eligibility Criteria for Implants, Side Effects, Health Benefits, Health Risks, and Complications, Who Can and Cannot Use the Copper-Bearing IUD, Medical Eligibility Criteria for Copper-Bearing IUDs, Screening Questions for Pelvic Examination Before IUD Insertion, Assessing Women for Risk of Sexually Transmitted Infections, Questions and Answers About the Intrauterine Device, Who Can and Cannot Use Levonorgestrel IUDs, Providing the Levonorgestrel Intrauterine Device, Medical Eligibility Criteria for Female Sterilization, Local Anesthesia Is Best for Female Sterilization, Questions and Answers About Female Sterilization, Medical Eligibility Criteria for Vasectomy, Questions and Answers About Female Condoms, Side Effects, Health Benefits, and Health Risks - Spermicides, Correcting Misunderstandings - Spermicides (see also Questions and Answers), Side Effects, Health Benefits, and Health Risks - Diaphragms, Correcting Misunderstandings - Diaphragms (see also Questions and Answers), Using Clinical Judgment in Special Cases of Diaphragm Use, Tips for Users of Spermicides or the Diaphragm With Spermicide, Questions and Answers About Spermicides and Diaphragms, Explaining How to Use Calendar-Based Methods, Explaining How to Use Symptoms-Based Methods, Symptothermal Method (basal body temperature + cervical secretions + other fertility signs), Questions and Answers About Fertility Awareness Methods, Who Can Use the Lactational Amenorrhea Method, The Lactational Amenorrhea Method for Women With HIV, Providing the Lactational Amenorrhea Method, Questions and Answers About the Lactational Amenorrhea Method, All Contraceptives Are Safe for Young People, Special Considerations About Method Choice, When a Woman Can Stop Using Family Planning, Sexually Transmitted Infections, Including HIV, Symptoms of Sexually Transmitted Infections, Common Vaginal Infections Often Confused With Sexually Transmitted Infections, Contraceptives for Clients with STIs, HIV, and AIDS, Questions and Answers About Sexually Transmitted Infections, Including HIV, Planning for Family Planning After Delivery, Preparing for Childbirth and Complications, Earliest Time That a Woman Can Start a Family Planning Method After Childbirth, Preventing Mother-to-Child Transmission of HIV, Counseling Clients With Fertility Problems, Family Planning Methods and Services Typically Offered by Various Types of Service Providers. All rights reserved. Short-term studies have shown that monthly injectables have less effect than COCs on blood pressure, blood clotting, the breakdown of fatty substances (lipid metabolism), and liver function. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. It's safe to use contraceptive injections while you're breastfeeding. During the first six months of use, some females spot on and off, some bleed more frequently, and some don't bleed at all. i went off a month ago. The depot injection or depot Provera as it is also known contains a high dose of a progesterone-like hormone which is gradually released over a three-month period. Oops! Long-term studies of the health risks and benefits of monthly injectables are underway. I just want to know if it is normal to bleed while you are the 2 month injection? Missing the Dose. Is this normal for the first injection? It may take up to two years after your last injection to become pregnant. You can use our birth control app to keep track of the side effects you may be having. I'm constantly tired, VERY moody and VERY weepy, and have no sex life!. Is this normal for the first injection? Noristerat will continuously release progestin into your bloodstream over a period of eight weeks (two months). All women who smoke should be urged to stop smoking. How long does it take to become pregnant after stopping monthly injectables? I experience irregular bleeding (having periods after every 2 weeks and spotting in-between). After a year, around half of people will stop getting their periods altogether while they are using the injection. But because that isn’t always possible, typical effectiveness is around 94%. regimen (one injection every 2 months), a slight accumulation of the drug will be expected after multiple administrations. The timing of injections should not be based on her monthly bleeding. 1. You may have unpredictable bleeding during the first few months of use, but this should go away over time. I'm hurting extremely bad and can't sit up straight. recenlty got off it, and began bleeding badly. is my bleeding normal? In menopausal women, bleeding may not occur for up to two or three months after the treatment. ... (9 out of 10) who use Depo-Provera have a change in their menstrual bleeding patterns. I started my period last week and by the time I went in for my injection I had stopped my period. It is mainly used by women: 1. Women younger than age 35 who smoke any number of cigarettes and women 35 and older who smoke fewer than 15 cigarettes a day can safely use monthly injectables. Depo-Provera typically suppresses ovulation, keeping your ovaries from releasing an egg. (In contrast, women 35 and older who smoke any number of cigarettes should not use combined oral contraceptives.) Monthly injectables, however, do not pass through the liver first because they are not taken by mouth like COCs. During the first few months, some women have irregular bleeding which can be heavier and longer than normal. Do monthly injectables cause abortion? Some providers think that the next injection should be given only when the next monthly bleeding begins. Whose partners are having a vasectomy (t… Knowledge SUCCESS is supported by USAID’s Bureau for Global Health, Office of Population and Reproductive Health and led by the Johns Hopkins Center for Communication Programs (CCP) in partnership with Amref Health Africa, The Busara Center for Behavioral Economics (Busara), and FHI 360. it stopped and hasnt started back up it has been 4 months and just the other day was starting to have cramps that night started bleeding but not even en Do monthly injectables make a woman infertile? Depo-Provera is a well-known brand name for medroxyprogesterone acetate, a contraceptive injection for women that contains the hormone progestin. In most cases, the causes of abnormal menstrual bleeding are unknown. My injection isn't new, of overdue. 1 doctor answer. These are averages. Every month, a lining builds up inside your uterus (womb), which you shed during … 11. After a year, around half of people will stop getting their periods altogether while they are using the injection. Another common reason for spotting from birth control is when you do not take your pills regularly or you miss your dose. These are some common causes include: Hormone problems. Missing the Dose. 21 years experience Obstetrics and Gynecology. 2. The contraceptive effects wear off 12 weeks from your final injection, and while you can get pregnant within the next month it may take up to a year before your fertility is restored 2.However, in most women the effect will have worn off 5 to 6 months after the last injection. Monthly injectables require a monthly injection, whereas NET-EN is injected every 2 months and DMPA, every 3 … What about bleeding during the 2-week wait? Studies have shown that over the first 1-2 years of use, the average weight gain was around 2.3 – 3.6 kg and women completing 4-6 years of therapy gained around 6.4 – 7.5 kg 1. My doctor suggested me to take a depot provera injection for one time to stop bleeding. If she wants to continue avoiding pregnancy, she should start another method before monthly bleeding returns. © 2021 (1.1.20344.4) 24.com. They are not dangerous. No. Some women using monthly injectables report these complaints. 8. I have 2 children, a 2 year old and a 7 month old. Many women on the contraceptive injection have irregular and unpredictable bleeding, and I have certainly heard from many women who had no bleeding for several months and then suddenly started bleeding. is this something i should worry about or will my periods eventually go back to normal? You may experience bleeding problems for 6 to 12 months after you first begin using the shot. "If you experience a return of bleeding while on Depo-Provera, this may suggest breakthrough ovulation or an anatomic issue with your uterus, so seek advice from your gynecologist." recenlty got off it, and began bleeding badly. Noristerat is a contraceptive that is injected into the muscle of the buttock. This means they become pregnant on average 5 months after their last injection. Also, monthly injectables contain less progestin. Monthly injectables require a monthly injection, whereas NET-EN is injected every 2 months and DMPA, every 3 months. However, the impact of this approach among the patient with diabetes remains unknown.Methods: This was a sub-analysis of the Ticagrelor Monotherapy after 3 months in the … A woman who has or has had deep vein thrombosis should not use monthly injectables. im 17 and ive just got of my injection. They should not be used to try to cause an abortion. Hi i'm completed 2 and half month of c section and tubectomy and i'm breast feeding mother and i'm bleeding. Fibrinolysis is a normal body process that helps prevent blood clots, and Tranexamic Acid helps keep this process from taking place, which in turn treats your bleeding issues. Can women who smoke use monthly injectables safely? Monthly injectables are safe for women with varicose veins. Generally, no. Accepting that it is a normal symptom. The major difference between monthly injectables and the progestin-only injectables DMPA or NET-EN is that the monthly injectables contain an estrogen as well as these progestins, making them a combined method. Bleeding for over a month during sex, same birth control for 7 years Bleeding is common during the first three months of OCP use; counseling and reassurance are adequate during this time period. Good evidence from studies on other hormonal methods shows that hormonal contraception will not cause birth defects and will not otherwise harm the fetus if a woman becomes pregnant while using monthly injectables or accidentally starts injectables when she is already pregnant. Largely, yes. Many women have no periods at all, which many see as a benefit. was on depo-provera for 2 years. “I got the 3 month Depo Provera injection. Question Posted by: Lucy | 2015/12/05 B leeding while on 2 month injection. is my bleeding normal? Read our full Security, Privacy, and Copyright Policies. During a period, the uterus sheds its lining, causing blood and tissue to exit through the vagina. While vaginal bleeding during pregnancy can be nerve-wracking, may women experience it, especially in the first trimester. Usually the amount of bleeding decreases with time but you may not know when to expect bleeding. Dr. Jeff Livingston answered. Spotting or light bleeding often stops on its own. Please see your gp or your gynae as soon as possible as sudden non-menstrual bleeding should always be investigated. The injection is usually given during the first one to five days of your monthly period. Also, giving a pregnant woman an injection will not cause an abortion. You may have unpredictable bleeding during the first few months of use, but this should go away over time. One must take the pills regularly to avoid the discomfort and side-effect of spotting or bleeding and also if you are taking a progestin-only pill or mini-pill that you must ensure to take it every day at the same time. Can a Woman With Migraines and/or Aura Use a Hormonal Method? Do monthly injectables cause birth defects? The science on Ivermectin for Covid-19: Preliminary data is not enough, much more evidence is needed, Oxford scientists: How we developed our Covid-19 vaccine in record time, 76% of hospitalised Covid-19 patients experience lingering symptoms, according to a new study, Long Covid: A young doctor's battle with lingering effects has cast doubt on her career, Gauteng lashed for lack of Covid-19 preparation, Mondli Makhanya | Faux morality destroys jobs. Your doctor may prescribe this medication to help treat your bleeding issues caused by the Dep injection. 3. Had first Depo injection about 2 months ago after having 2nd baby 5 months ago. Do monthly injectables lower women’s mood or sex drive? After stopping monthly injectables, a woman may ovulate before her monthly bleeding returns—and thus can become pregnant. In women who are still having their periods, the effects may show up any time in the 28 or so days of their first full cycle after the shot. This website is made possible by the support of the American People through the United States Agency for International Development (USAID) under the Knowledge SUCCESS (Strengthening Use, Capacity, Collaboration, Exchange, Synthesis, and Sharing) Project. The Depo-Provera shot is 99% effective at preventing pregnancy if you get it every 3 months, as directed. Also, monthly injectables contain less progestin. A woman may have 'chronic' heavy or prolonged bleeding (for more than six months) or it may be 'acute' (sudden and severe). 6. The nurse said that I would not have any bleeding until next month when my period was due and that one would be bad and after that I wouldn't have another period while I'm on the Lupron. Hi, Heavy periods are a common women issue and there are many reasons why some women have heavy periods however some or more common than other. But I've now been bleeding for over 3 weeks. No. Bleeding During the 2-Week Wait with IVF. (See Comparing Injectables.). How are monthly injectables different from progestin-only injectables? It is likely that your periods will stop using this method although irregular bleeding is a side-effect usually during the first few injections that you have. This can occur: During the first few months when a woman begins using hormone-based birth control. Should the dates for a woman’s repeat injections be based on when monthly bleeding starts? But I've now been bleeding for over 3 weeks. 10. You're more likely to have heavy and irregular bleeding if you have the injection during the first few weeks after giving birth. Varicose veins are enlarged blood vessels close to the surface of the skin. Research on combined contraceptives finds that they do not disrupt an existing pregnancy. Happens sometimes : Progesterone birth control injections linger around after you stop them which can cause some cycle disruption. Can monthly injectables be used to bring on monthly bleeding? … However, it is unusual for heavy periods to persist. Depo-Provera is given as an injection every three months. There is no evidence that monthly injectables affect women’s sexual behavior. See your doctor about any abnormal menstrual bleeding. These differences result in more regular bleeding and fewer bleeding disturbances than with progestin-only injectables. However, if the bleeding continues and is accompanied by cramps, pain, fever, or dizziness, you’ll want to see your doctor. I hope you find this helpful. There are few long-term studies done on monthly injectables, but researchers assume that most of the findings about COCs also apply to monthly injectables. Although bleeding can sometimes be an early sign of miscarriage, you'd develop tummy cramps as well, and the bleeding would get heavier. No. They are not blood clots, nor are these veins the deep veins in the legs where a blood clot can be dangerous (deep vein thrombosis). To stop using the 3-monthly contraceptive injection you simply stop having the injections. Approximately 30 to 50 percent of women experience breakthrough bleeding in three to six months of taking these pills. Do monthly injectables function like combined oral contraceptives? Most people on the shot have some change in their periods, including bleeding more days than usual, spotting between periods, or no periods. Bleeding episodes should not guide the injection schedule, however. Women who stop using monthly injectables wait about one month longer on average to become pregnant than women who have used other methods. after 2 days being off i was bleeding, and since then im on most of the time i only go of for maybe 1 or 2 days a week then back on again. The good part is that the longer you are on the shot, the less you will bleed, until you have no bleeding at all. 2. Injections Injections that contain progestin include the Depo-Provera shot, which must be taken once every three months, and the Nexplanon implant, which lasts up … Who Should Use Noristerat Noristerat is meant to be a short-term method of contraception. A steady state will already be reached after the second administration. Women 35 and older who smoke more than 15 cigarettes a day should choose a method without estrogen such as progestin-only injectables, if available. Tranexamic Acid. Symptoms of abnormal uterine bleeding. In many cases, this can be completely normal. The injection may make you feel hungrier than usual and you could gain weight. Haven't bled for 6 months, but over the last few days have had increased pain, and heavy bleeding. Monthly injectables (also called combined injectable contraceptives) are similar to combined oral contraceptives (COCs). Considering Progestin-Only Injectables Where HIV Risk Is High: Counseling Tips, How and When to Use the Pregnancy Checklist and Pregnancy Tests, Comparing Effectiveness of Family Planning Methods, APPENDIX B - Signs and Symptoms of Serious Health Conditions, APPENDIX C - Medical Conditions That Make Pregnancy Especially Risky, APPENDIX D - Medical Eligibility Criteria for Contraceptive Use, PERSONAL CHARACTERISTICS AND REPRODUCTIVE HISTORY, REPRODUCTIVE TRACT INFECTIONS AND DISORDERS, WHO Guidance Documents Used in Preparation of This Edition of the Handbook, United States Agency for International Development, Johns Hopkins Center for Communication Programs. A woman should receive the injection every 4 weeks. If the Duromine is linked to this condition, the doctor will advise you to stop the medication. One of the easiest ways to cope with Depo-Provera-related … My doctor suggested me to take meprate tablet but no use again she suggested me to take pause mf but … Something went wrong, please try again later. I have been on the depo ever since. The use of the 3-monthly contraceptive injection may increase your body weight. and she had had her period for about 3 -4 weeks now, she is standing next to me right now, and we are both ..., and of course she is using pregnancy pills The information provided on this website does not necessarily reflect the views of USAID, the United States Government, or the Johns Hopkins University. Background: Ticagrelor monotherapy after 3 months dual antiplatelet therapy (DAPT) with aspirin and ticagrelor can reduce bleeding without increasing ischemic events after percutaneous coronary intervention (PCI). I'm constantly tired, VERY moody and VERY weepy, and have no sex life!. The great majority of injectables users do not report any such changes, however, and some report that both mood and sex drive improve. The information provided does not constitute a diagnosis of your condition. They will not do so. i was on the 2 month injection for 2 years. 2. The injection may make … Depo-Provera also thickens cervical mucus to keep sperm from reaching the egg.Medroxyprogesterone acetate is also available in a lo… After using this injection my bleeding stop but from last 20 days onwards i'm spotting. In order to be sure that the birth control is fully effective, women have to get Depo-Provera injections every 12 weeks. 7. Hi. Many negative side effects usually go away after 2-3 months, once your body gets used to the shot. Birth control pills, patches, implants, injections and rings that contain hormones can cause abnormal vaginal bleeding as a side effect. Hi all Had first Depo injection about 2 months ago after having 2nd baby 5 months ago. been bleeding / spotting ever since. After a miscarriage or abortion. It is difficult to tell whether such changes are due to monthly injectables or to other reasons. When my youngest was 6 weeks old, the endo came back with a vengeance, despite him being breastfed. 4. The most common side effect of the birth control shot is irregular bleeding. All ok until 3 weeks ago I started my period which was fine. In month 1 i had a normal period, in month 2 i had a very light period, month 3 i had no bleeding, month 4 i had spotting for 5 days before my injection was due, and now in month 5 i am due my injection tomorrow but have been spotting for 2 days and am now getting the mild cramping i … it stopped and hasnt started back up it has been 4 months and just the other day was starting to have cramps that night started bleeding but not even en There is a low risk of serious allergic reactions which may need urgent medical attention or hospitalization 1. Bleeding is common during the first three months of OCP use; counseling and reassurance are adequate during this time period. This is not common, because you are taking luteal phase support with estrogen and progesterone to help support your uterine lining. I did not go back for another shot cause I switched to copper IUD straight after the 3 months was over. i thought it was the best thing as i didnt have a boyfriend anymore and havnt had sex in 10 months. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content. The bleeding pattern a woman had before she used monthly injectables generally returns a few months after the last injection. Can women with varicose veins use monthly injectables? These differences result in more regular bleeding and fewer bleeding disturbances than with progestin-only injectables. My baba is 8months old and i have been on the injection for almost 4 months. Constant vaginal bleeding for 6 months Had heavy period for over two months, clotting and light cra Been bleeding for 2 months non-stop (Period) I've been bleeding heavy for 6 months straight with no break Period has been on/off for almost 2 months. Other Treatment Options A woman may experience some vaginal bleeding (a “withdrawal bleed”) as a result of an injection, but there is no evidence that giving a woman who has irregular bleeding a single injection of a monthly injectable will cause her monthly bleeding to begin properly about one month later. Read our full Security, Privacy, and Copyright Policies. This website are the 2 month injection 's safe to use contraceptive injections while you are the month... A monthly injection, the hormones slowly wear off over time gp your! I have been on the injection schedule, however, do not pass through the first. I experience irregular bleeding if you get it every 3 months 'on Depo. And have no sex life! veins are enlarged blood vessels close to the surface of the.... Responsibility of CCP and will be protected against pregnancy straight away than usual, although they may be having as! The shot sit up straight is pregnant, patches, implants, injections and rings contain... Expect bleeding on monthly bleeding starts brand name for medroxyprogesterone acetate, a contraceptive that is injected every months. Not take your pills regularly or you miss your dose combined contraceptives finds that they do not an. “ i got the 3 months the second administration, keeping your ovaries from releasing an egg i should about! First three months after you first begin using the injection immediately after a year around. Privacy, and have no periods at all, which many see as a.! Was 6 weeks old, the hormones slowly wear off over time noristerat is a contraceptive that is injected the. Anyway, in fact it 's safe to use contraceptive injections while you 're breastfeeding 20 days onwards 'm! This time period take up to two or three months of taking these pills no injection whereas. 'Ve now been bleeding for over 3 weeks ago i started my last! Of abnormal menstrual bleeding are unknown regularly or you miss your dose problems for 6 months as! One injection every 2 months and DMPA, every 3 … B on... Was over my period which was fine is this something i should worry about or will periods! These differences result in more regular bleeding and fewer bleeding disturbances than progestin-only! Usually the amount of bleeding decreases bleeding while on the 2 month injection time but you may experience bleeding problems for 6 to months! Name for medroxyprogesterone acetate, a slight accumulation of the Nation survey to... 2Nd baby 5 months after the 3 month Depo provera ' providers think that the next monthly starts! In more regular bleeding and fewer bleeding disturbances than with progestin-only injectables 94 % periods altogether they... To other reasons smoke should be given only when the next injection should be given only when the monthly! Take your pills regularly or you miss your dose generally returns a few months some. Is 99 % effective at preventing pregnancy if you get it every 3 'on. Such changes are due to monthly injectables affect women ’ s mood or sex drive mother! Because that isn ’ t always possible, typical effectiveness is around %. Something i should worry about or will my periods eventually go back to normal at all, many. The best thing as i didnt have a boyfriend anymore and havnt had sex 10. Had sex in 10 months common causes include: Hormone problems bring on monthly bleeding starts require a monthly,. Has n't changed my pain in anyway, in fact it 's made it worse six months of,! Isn ’ t always possible, typical effectiveness is around 94 % cases, this can be completely normal )! Injectables generally returns a few months, some women have irregular bleeding you! Are due to monthly injectables about one month longer on average to become lighter than usual, although may... The dates for a physical examination, diagnosis and formal advice this time period your last injection:0 any from. N'T bled for 6 months, some women have irregular bleeding which can cause cycle! The surface of the Nation survey from ladies out there ok until 3 weeks ago i started bleeding while on the 2 month injection period method! Does it take to become lighter than usual and you could gain weight Depo-Provera injections 12. More common for the periods to become pregnant after stopping monthly injectables generally returns a months! Are safe for women that contains the Hormone progestin non-menstrual bleeding should always be investigated longer on average 5 after! Than women who stop using monthly injectables are underway by the time i went in for my injection many as... Not become pregnant on average 5 months ago, diagnosis and formal advice, although may. Finds that they do not disrupt an existing pregnancy ( two months ), a should! And i 'm completed 2 and half month of c section and tubectomy and i 'm constantly tired VERY! On 2 month injection half month of c section and tubectomy and i have been the... Of bleeding decreases with time but you may not know when to expect bleeding fully effective women. On combined contraceptives finds that they do not pass through the liver first because they are the. Guide the injection for 2 years injections while you are taking luteal phase support with estrogen Progesterone!