Sayana Press Contraceptive Injection (104mg/0.65ml)
Sayana Press is a long-acting reversible contraceptive (LARC) designed for the prevention of pregnancy. Each pre-filled Uniject™ device contains 104mg of medroxyprogesterone acetate in a 0.65ml suspension. Unlike traditional intramuscular injections (like Depo-Provera), Sayana Press is administered subcutaneously (under the skin), making it a convenient option for many women.
One injection provides effective protection against pregnancy for 13 weeks (approximately 3 months).
How Sayana Press Works
The active ingredient, medroxyprogesterone acetate, is a progestogen hormone that works by:
- Preventing Ovulation: It stops your ovaries from releasing an egg.
- Thickening Cervical Mucus: This creates a barrier that prevents sperm from reaching an egg.
- Thinning the Uterine Lining: This makes it less likely for a fertilized egg to implant.
How to Use Sayana Press
Sayana Press is injected into the fat layer just under the skin in either the front of the thigh or the abdomen.
- Injection Schedule: To maintain maximum protection, you must receive your injection every 12 to 14 weeks (ideally exactly every 13 weeks).
- Self-Injection: While the device is designed for easy use, your first dose should be administered by a healthcare professional at a pharmacy or clinic. They can provide training if you wish to self-inject future doses.
- Preparation: Shake the device vigorously for about 30 seconds before use to ensure the medicine is properly mixed.
Side Effects and Considerations
Most women can use Sayana Press safely, but some may experience side effects:
- Menstrual Changes: You may experience irregular bleeding, spotting, or your periods may stop altogether (amenorrhea), which is common with progestogen-only contraceptives.
- Weight Gain: Some users report an increase in body weight.
- Injection Site Reactions: Minor dimpling or scarring may occur at the injection site.
- Bone Density: Long-term use (over 2 years) may lead to a temporary decrease in bone mineral density.
Return to Fertility
After stopping Sayana Press, it can take some time for your regular ovulation and fertility to return. On average, it may take about 10 months to get pregnant after your last injection, though this varies significantly between individuals.
Breastfeeding Safety
Sayana Press is generally considered safe for use by breastfeeding mothers. It does not affect the quality or quantity of breast milk. However, it is always best to consult with a GoMed pharmacist or your doctor before starting any hormonal contraceptive while nursing.
Note: Sayana Press does not protect against HIV/AIDS or other sexually transmitted infections (STIs).