Healthy Living

Tuesday, February 9, 2010

Women Experience Depo-Provera Withdrawals

Our OB/GYN tells us if we have something to worry about.

depo provera

ABC News ran a story this week about women who experienced bothersome symptoms when they stopped taking Depo-Provera, such as dry heaves, nausea, depression

, ovarian cysts, and migraines.

"I had headaches, backaches, and my period was like a monster," Nancy Jones said. "The cramping, irritability, and just overall feelings were horrible. It took quite some time for my body to readjust to where it should be."

We asked OB/GYN Dr. Suzanne Gilberg-Lenz how widespread this issue is.

"It is really impossible to make any sweeping generalizations about a particular drug's effects based on the comments of 52 respondees to the abc.com website -- hardly a powerful sample from which to draw any kind of definitive scientific conclusions," she says. "However, it does represent another cautionary tale. When women blindly make decisions about medication use without the knowledge that there may be side effects, or unwanted symptoms both on and off the drug, that is when the trouble starts. Any long-term use of a therapy, especially one that was helping control severe and unpleasant symptoms for many of those reporting withdrawal effects, is bound to cause upset and disturbance when discontinued, if for no other reason because the symptom may reappear or new life-stage-related symptoms may appear."

She continues: "Many of the women quoted in the article had typical side effects. Weight gain and mood disturbance are big ones on the med. Many others' withdrawal symptoms may have been merely a return to their off-med baseline, albeit with a vengeance! I have not seen any data on such prolonged use, and I use this medication sparingly in my patients because of the depot effect. (It is stored in fat and releases over a period of time, which makes it hard to control if the patient does not like it.) So I personally have no experience with it being used longer than two or three years. Counseling and supporting our patients thoroughly before, during, and after use of a medication are the keys to helping our patients through any treatment."

Dr. Suzanne Gilberg-Lenz completed her undergraduate education at Wesleyan University and post-baccalaureate pre-med studies at Mills College. She earned her medical degree from the USC School of Medicine and has been in private practice for 9 years. She is the co-founder of Cedar Sinai Medical Center's Green Committee and lives in Los Angeles with her husband and two children.

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From the Community…

Comments 1-10 of 90
  • Katie B's Avatar
    Posted by Katie B Thu Oct 29, 2009 8:08am PDT

    I am SOOO happy that I got off of that as soon as I did... I went through 2 doses... I gained a good 20 pounds or more the first 3 months (partly my fault because I didn't listen to my doctor when she told me this would happen).... I was constantly spotting during the second shot, well it was more like half way between spotting and full on period (to the point that my doctor had me use additional birth control just to stop the bleeding)... and I was an emotional trainwreck to the point that my boyfriend (now husband) almost broke up with me, but didn't because the decision for me to get onto birth control was both of ours... It was hell for me and I will never use it again. I didn't like how it made me feel, emotionally or physically.

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  • Julia's Avatar
    Posted by Julia Thu Oct 29, 2009 8:10am PDT

    I just read your artical on depo.it iterested me because my doctor started me on it when i was 17 an not three months later a had a ovrian cyst the size of a grapefruit ! its very damaging to a womens body i do not recomend it!

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  • sixtymiler's Avatar
    Posted by sixtymiler Thu Oct 29, 2009 8:40am PDT

    I started on depo after I had my son and have been on it for 15 years. Love it! Never have a period (not even spotting). I did gain about 5 pounds initially, but lost that after my body adjusted to the depo.

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  • pixie's Avatar
    Posted by pixie Thu Oct 29, 2009 8:50am PDT

    That shot was the worst thing I ever did to my body,worst thing ever! I hated it,period was not regular,had bad cramps,gained weight and could not loose it(after I stopped the shot the weight just flew off). I know 2 women who became pregnant while on it. Have not heard one good thing about this shot!

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  • .constance.marie.kiwi.'s Avatar
    Posted by .constance.marie.kiwi. Thu Oct 29, 2009 11:47am PDT

    i love this shot!

    I've been on it for almost 2 years now...

    at first, my periods were monstrous!!

    they lasted for 2 weeks at a time!!! >:I

    but then my body adjusted.

    i've gained 10 pounds...

    (im still considered healthy)

    i WAS 117lbs--now 127.

    sooooo,

    it may not work for everyone...but it certainly does for me!

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  • tina's Avatar
    Posted by tina Thu Oct 29, 2009 6:37pm PDT

    It worked great for me, I hate needles though. I switched to the patch after two shots.

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  • Chipo's Avatar
    Posted by Chipo Fri Oct 30, 2009 2:27am PDT

    It doesn't work for me, now its been three years when i left it and it looks as if i'm not going to be pregnant again. Am using nothing since then, my kid is will turning 7 years next year still not preggie

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  • Chipo's Avatar
    Posted by Chipo Fri Oct 30, 2009 2:28am PDT

    It doesn't work for me, now its been three years when i left it and it looks as if i'm not going to be pregnant again. Am using nothing since then, my kid is will turning 7 years next year still not preggie

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  • Trish's Avatar
    Posted by Trish Fri Oct 30, 2009 7:01am PDT

    I like the shot. Its a very convenient way of birth control for those that don't like keeping track of when to take a pill every day.

    I've used it for 2 years or so.

    I have seen some weight gain, and I do have some majorly moody moments. However, I KNOW that is a side effect from Depo. I have told my doctor about possibly having depression, but she mentioned if the feeling got worse to let her know. So I am not that worried about it much.

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  • DaisyGirl's Avatar
    Posted by DaisyGirl Fri Oct 30, 2009 7:02am PDT

    Much like some of the other comments on here I loved the shot when I was on it. But, when I decided that it was time for baby #2 and got off Depo... HOLY COW! I had the worst period of my life- it lasted 3 months! (Which my doc told me was "a normal side effect"). I went through a huge bout of depression and on top of it all it took me 2 years after my last shot to get pregnant. I was never told about the long procees it would take after you stopped the shot for your body to get back to normal.

    If you are considering this birth control method- please make sure you are ready for all of the side effects when you are done.

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