IMPORTANT: Thorough counseling about bleeding changes and other side effects must come before giving the injection. Counseling about bleeding changes may be the most important help a woman needs to keep using the method without concern.

Describe the most common side effects
  • For the first several months, irregular bleeding, prolonged bleeding, frequent bleeding. Later, no monthly bleeding.
  • Weight gain (about 1–2 kg per year), headaches, dizziness, and possibly other side effects.
Explain about these side effects
  • Side effects are not signs of illness.
  • Common, but some women do not have them.
  • The client can come back for help if side effects bother her.