Shana Received Her First Medroxyprogesterone (Depo Provera) Injection 6 Weeks

question 15

Multiple Choice

Shana received her first medroxyprogesterone (Depo Provera) injection 6 weeks ago and calls the clinic with a concern that she has been having a light "period" off and on since receiving her Depo shot. What would be the management of Shana?

• A) Reassurance that some spotting is normal the first few months of Depo and it should improve.
• B) Schedule an appointment for an exam as this is not normal.
• C) Prescribe 4 weeks of estrogen to treat the abnormal vaginal bleeding.
• D) Order a pregnancy test and suggest she use a back-up method of contraception until she has her next shot.

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