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Social & Preventive Medicine Family Planning 3df50189

With the use of DMPA contraceptive, the side effects are all of the following EXCEPT:

A
Change in quantity and quality of breast milk
B
Weight gain
C
Irregular bleeding
D
Increased reproductive tract inflection
High-Yield Explanation
Ans. is 'a' ie change in quantity and quality of breast milk. Change in quantity and quality of breast milk is seen with the use of estrogen contraceptives not progesterone.Infact is a plus point of DMPA that it does not affect lactation. It can be therefore used in the post-partum period, without affecting the lactation.Side effects of Depot Medroxy Progesterone Acetate (DMPA)Weight gain*Irregular menstrual bleeding*Increased incidence of ectopic pregnancy *Increased risk of ovarian cystsProlonged anovulation and infertility after its use is discontinuedOsteoporosis.I could not get any information on the option 'd' (ie increased reproductive tract infection) despite exhaustive search in Williams, Dutta, Shaw's and Park.The only information which I have is that, the risk of vaginitis or vulvovaginitis (Candida) is increased by use of combined pills. Which component of the pill (estrogen or progesterone) is responsible for this is not known.

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