Need for back-up contraception: : If a woman is 7 days since menstrual bleeding started, she needs to abstain from sexual intercourse or use additional contraceptive protection for the next 7 days.MEC 1) if it is reasonably certain that the woman is not pregnant ( Box 2). Timing: The first DMPA injection can be given at any time, including immediately postpartum (U.S.MEC 2 if 7 days since menstrual bleeding started, she needs to abstain from sexual intercourse or use additional contraceptive protection for the next 7 days. Need for back-up contraception: The woman needs to abstain from sexual intercourse or use additional contraceptive protection for the next 7 days.Timing: The first DMPA injection can be given at any time if it is reasonably certain that the woman is not pregnant ( Box 2).Special Considerations Amenorrhea (Not Postpartum) If DMPA is started >7 days since menstrual bleeding started, the woman needs to abstain from sexual intercourse or use additional contraceptive protection for the next 7 days.If DMPA is started within the first 7 days since menstrual bleeding started, no additional contraceptive protection is needed.
The first DMPA injection can be given at any time if it is reasonably certain that the woman is not pregnant ( Box 2).
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