Exploratory study of the effect of lifestyle counselling on bone mineral density and body composition in users of the contraceptive depot-medroxyprogesterone acetate

Abstract

DMPA use was apparently associated with lower BMD and an increase in fat mass at 12 months of use. Calcium intake ≥ 1 g/day attenuates BMD loss in DMPA users. Counselling on healthy lifestyle habits failed to achieve its aims.

Progestin-only contraceptives: effects on weight

“…At 12 months, the study arms did not differ significantly for changes in total body mass (weight), fat mass, or lean mass in either study (Analysis 11.6). A secondary report from Dos Santos 2014 (Modesto 2014) included 29 women using DMPA and 25 using the Cu IUC. Multiple linear regression adjusted for potential confounders such as age, schooling, and pregnancies.…”

Introduction of the contraceptive implant in South Africa: Successes, challenges and the way forward

“…[6,7] Models, leaflets and flip charts can be used to facilitate such discussions. [8] In many settings, information about contraceptive methods is simply presented verbally -from most to least effective, beginning with the implant. [6,7] Among women who experience heavy or prolonged bleeding while using the implant, the decision to continue the method seems contingent on the dynamics of their relationship with their partner and the level of sexual activity.…”