By vgreene, 1 June, 2017 No routine f u visit required assess the following at other routine visits 4 nbsp nbsp satisfaction concerns w method nbsp nbsp health status changes nbsp nbsp weight changes
By vgreene, 1 June, 2017 Provide repeat injection q3mo 3 nbsp nbsp Can give up to 15wk from prior injection although q13wk is recommended
By vgreene, 1 June, 2017 Back up contraception abstinence required x7 days after injection in certain situations Use barrier method or abstain x7 days if nbsp nbsp initiated 7 days after start of menses3 nbsp nbsp amenorrheic not post partum 3 nbsp nbsp 21 days post partum and me
By vgreene, 1 June, 2017 Counsel about potential changes in bleeding patterns 3 nbsp nbsp Spotting light bleeding common heavy prolonged bleeding can occur Generally not harmful and may darr w continued use nbsp nbsp If spotting light bleeding or heavy prolonged bleeding and clin
By vgreene, 1 June, 2017 If pt healthy no exams tests required before initiation 4 nbsp nbsp Pts w known medical conditions may need additional exams tests to determine if candidate for this method 3
By vgreene, 1 June, 2017 If pregnancy possible consider starting anytime and obtain pregnancy test in 2 4wk 4
By vgreene, 1 June, 2017 Give 1st injection anytime providing reasonable certainty pt is not pregnant3 i e has no pregnancy s sx and meets any one of the following criteria 4 nbsp nbsp 7 days after start of normal menses nbsp nbsp No sexual intercourse since start of last normal
By vgreene, 1 June, 2017 Review exceptions contraindications to category 1 Category may vary if initiating vs continuing this method 1