Kohn Julia E, Berlan Elise D, Tang Jennifer H, Beasley Anitra
New York University, Robert F. Wagner Graduate School of Public Service, New York, NY, United States.
Division of Adolescent Medicine, Nationwide Children's Hospital, Columbus, OH, United States; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, United States.
Contraception. 2022 Aug;112:11-13. doi: 10.1016/j.contraception.2022.03.023. Epub 2022 Apr 1.
Depot medroxyprogesterone acetate (DMPA) is a highly-effective, injectable contraceptive method that requires injections every 12 to 15 weeks. The need for return visits to a healthcare provider may present barriers to access, use, and continuation of DMPA. Studies demonstrate that self-administration of subcutaneous DMPA (DMPA-SC) outside clinical settings is safe, effective, feasible, acceptable, and can improve continuation. Based on existing evidence and potential to improve contraceptive access and autonomy, the Society of Family Planning recommends that DMPA-SC self-administration be made widely available as an additional option for patients. Provider-administered DMPA must also remain available to meet patients' individual needs and preferences.
醋酸甲羟孕酮长效注射剂(DMPA)是一种高效的注射避孕方法,需要每12至15周注射一次。需要返回医疗机构就诊可能会成为获取、使用和持续使用DMPA的障碍。研究表明,在临床环境之外自行皮下注射DMPA(DMPA-SC)是安全、有效、可行、可接受的,并且可以提高持续使用率。基于现有证据以及改善避孕措施获取和自主性的潜力,计划生育协会建议广泛提供DMPA-SC自我注射,作为患者的另一种选择。由医疗服务提供者注射的DMPA也必须继续提供,以满足患者的个人需求和偏好。