DEPOT MEDROXYPROGESTERONE: Management of Side-Effects Commonly Associated with Its Contraceptive Use

Authors

  • Betty Chern-Hughes CNN, MS,

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      Betty Chern-Hughes, CNM, MS, 1033 Calle don Roberto, Santa Fe, NM 87505.
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    • Betty Chern-Hughes is a graduate of the University of Arizona and the University of Utah. She is in full-scope nurse-midwifery practice in Santa Fe, New Mexico.

  • Barbara Archer CNM, MSN,

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    • Barbara Archer is a graduate of Columbia University. She works with Planned Parenthood of San Diego and Riverside Counties. California.

  • Donna Irwin ARNP,

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    • Donna Irwin, an ob-gyn nurse practitioner, works at University Medical Center Midwifery Service, Jacksonville, Florida.

  • Katherine Jensen CNM,

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    • Katherine Jensen is a graduate of the University of California-San Francisco. She is in private practice at Roseberg Women's Health Care in Roseberg, Oregon.

  • Mary Ellen Johnson CNM,

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    • Mary Ellen Johnson is a graduate of the State University of New York at Brooklyn. She is in private practice with OB-GYN Health Care, Inc., in Vestal, New York.

  • JoAnna Rorie CNM, MSN, MPH

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    • JoAnna Rorie is in practice at Dimock Community Health Center and is on the faculty of Boston University School of Public Health in Boston, Massachusetts.


  • Lauren Hunter is a graduate of the University of Colorado, the University of Arizona, and the University of Utah. She is an assistant professor at the University of California-San Diego.

  • This Clinical Practice Exchange was coordinated by Betty Chern-Hughes, CNM, MS, and Lauren Hunter, CNM, MS.

Betty Chern-Hughes, CNM, MS, 1033 Calle don Roberto, Santa Fe, NM 87505.

ABSTRACT

Depot medroxyprogesterone acetate is one of the most popular, effective methods of contraception used in the United States. Many women experience unpleasant side effects from this method, including episodic vaginal bleeding, hair loss, depression, and weight gain. This Clinical Practice Exchange describes the treatment strategies for these side-effects used by nurse-midwives from a variety of settings and locales. Contraceptive use can be more acceptable for many women if they are better able to cope with unpleasant side effects of the method. This Clinical Practice Exchange provides knowledge to enhance client coping.

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