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The contraceptive injection

A jab every few months – plus the bits worth knowing before you choose it.

Contraception4 min read

Written by the Splash teamSources checked

On this page 4 sections
  1. Quick answer
  2. Good to know before choosing
  3. Timing your next jab
  4. Sources

Quick answer

  • One injection lasts 8–13 weeks depending on type.
  • Over 99% if on time, 94% typically.
  • Fertility can take up to a year to come back.
  • Long-term use can temporarily affect bone density.

The injection contains progestogen and stops ovulation. Depending on the type (such as Depo-Provera, Sayana Press or Noristerat), it lasts 8 to 13 weeks.

94%
Typical-use effectiveness (over 99% if every jab is on time)See sources

Good to know before choosing

  • Fertility can take up to a year to return after stopping – not ideal if you’re planning a baby soon
  • Using it for more than a year can weaken bones; they’re expected to recover after you stop
  • Weight gain is a common side effect
  • Periods often become irregular or stop – the longer you use it, the more likely they stop
  • Slightly raised breast and cervical cancer risk, and a small raised risk of a non-cancerous brain tumour called a meningioma – all very small, and the NHS says the risk is likely to fall after you stop

Timing your next jab

Depo-Provera and Sayana Press are due every 13 weeks, and UK sexual health services allow a small safety margin: up to 14 weeks after your last jab is still fine. After that, tell a nurse, pharmacist or clinic straight away. You may need condoms, a pregnancy test or emergency contraception. Sayana Press can also be injected under the skin by yourself once a trained professional has shown you how, if that suits you better.

MythIf your periods stop on the injection, something is wrong.
Fact

Periods stopping is a common, expected effect of the injection and isn’t harmful.

Sources

  1. NHS – What is the contraceptive injection?
  2. NHS – Side effects and risks of the injection
  3. NHS – How well contraception works at preventing pregnancy
  4. ACOG – Progestin-only hormonal birth control: pill and injection

Written by the Splash teamSources checked

This is general information, not medical advice. Splash can’t diagnose. If you’re worried, talk to a GP, pharmacist or sexual health clinic. In an emergency call 999 (UK) or 911 (US). How we write and check articles.

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