A 38-year-old woman using DMPA is concerned about a recent family member being diagnosed with osteoporosis. She has been on DMPA for 6 years. Her last...

Question

A 38-year-old woman using DMPA is concerned about a recent family member being diagnosed with osteoporosis. She has been on DMPA for 6 years. Her last review was 3 years ago. What should be done?

Accepted Answer

Review her use of DMPA now - FSRH recommends review at least every 2 years to reassess risks and benefits including BMD effects

Answer

Continue DMPA without review

Answer

Stop DMPA immediately and arrange a DEXA scan

Answer

Switch to the etonogestrel implant, which also reduces BMD

Answer

DMPA has no effect on BMD after age 35

uk-dfsrh MCQ (SBA): DMPA Overdue 2-Yearly Review

A 38-year-old woman using DMPA is concerned about a recent family member being diagnosed with osteoporosis. She has been on DMPA for 6 years. Her last review was 3 years ago. What should be done?