Frequently Asked Questions about Contraceptive Injections

  • 1

    What is a contraceptive injection?

    This is an injection that contains only one hormone and is injected to prevent pregnancy for up to 3 months. There are some types of this injection that are injected once a month/in two months but the 3 month type is the most convenient and popular as you will only need 4 shots to be covered for the whole year. An example is Sayana Press.

  • 2

    How does the contraceptive injection like Sayana press work?

    It works by releasing low doses of hormone for 3 months. This is similar to taking the contraceptive pill daily. This hormone prevents ovulation, and thickens cervical mucus so it is difficult for sperm to swim through thus preventing fertilization and pregnancy.

  • 3

    How is Sayana Press given?

    SAYANA PRESS is injected into the front upper thigh or the abdomen (away from the navel) using an easy-to use, pre-filled device with a small needle.

  • 4

    Who cannot use Sayana Press?

    These are women who are already pregnant, have severe hypertension or have had a heart attack/stroke, have or develop migraines, undiagnosed vaginal bleeding, severe liver disease, uncontrolled diabetes, have or develop Lupus (an autoimmune disorder), known or suspected breast cancer or women who are breastfeeding a baby that is younger than 6 weeks old.

  • 5

    What side effects should you expect while receiving Sayana Press?

    Common side effects that you should expect are amenorrhea (no bleeding), prolonged or heavy vaginal bleeding, irregular bleeding or spotting, nausea/abdominal discomfort, headache and dizziness. Amenorrhea is not a sign of ill health while on SAYANA PRESS and when you stop using SAYANA PRESS your period will return to normal in a few months.

  • 6

    When does Sayana Press start working after administration?

    If given within the first 5 days of your menstrual cycle (day 1 is when bleeding starts), SAYANA PRESS starts working immediately, BUT if given at any other time of the month, you should rule out pregnancy and give the injection. The client must use a back-up method for the next seven days. After 7 days, she is already protected from pregnancy by SAYANA PRESS

  • 7

    Is it safe for you to switch between Sayana Press and Depo Provera?

    YES. It is safe to switch from Depo Provera to SAYANA PRESS, as long as you are eligible for reinjection of DMPA

  • 8

    What will happen if Sayana Press is injected in a muscle?

    If SAYANA PRESS is given in a muscle; it will not be as effective, so pinch the skin before giving. Luckily, SAYANA PRESS needle is much shorter than the Depo Provera needle so it is not likely that it will reach the muscle.

  • 9

    When should Sayana Press be given if you are breastfeeding?

    You can go on to take SAYANA PRESS as long as your baby is 6 weeks old or more

  • 10

    How soon can you get pregnant after stopping SAYANA PRESS?

    Earliest return to ovulation after SAYANA PRESS was 4 weeks while average return to ovulation was 3-6months. Be AWARE that you are likely to experience a delay in return to fertility if you desire to get pregnant after discontinuing SAYANA PRESS.

  • 11

    Can you go early or late for your injection?

    If you are up to 2 weeks early or 4 weeks late, you can still get the injection without fear of being pregnant