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Would it be safe for to start using the contraceptive injection?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have not tried any form of contraceptive yet, and I want to try an injection contraceptive, which is Norifam, for less hassle. Am I eligible to use an injection contraceptive? I am 21 years old, and I have my regular period. Please help.

Thanks.

Answered by Dr. Ashraf Ghani

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I can understand your concern.

At 21 years old and with regular menstrual cycles, you are generally eligible to use the Norifam (Norethisterone and Estradiol Valerate) contraceptive injection, provided you have no major health issues such as blood clotting disorders, uncontrolled hypertension, liver disease, or a history of stroke or breast cancer. Norifam is a monthly combined injectable contraceptive that contains both estrogen and progesterone, similar to birth control pills, but is given as an injection once every four weeks.

It is a good option for women who prefer a convenient and discreet form of birth control without having to remember a daily pill. Since your weight is around 86 pounds, you fall on the lower end of the normal weight range, but that does not automatically make you ineligible.

Your doctor may, however, want to check your blood pressure, menstrual history, and overall health before giving the first injection to ensure that your body can tolerate the hormones well. The injection is usually given within the first seven days of your period, which ensures you are not pregnant and that the contraceptive protection starts right away.

Common side effects can include mild spotting, breast tenderness, mood changes, or temporary irregular bleeding, especially in the first few months, but these often settle over time. It is important to get the injection on schedule every month to maintain full protection. In general, Norifam is safe and effective for young women like you who want reliable birth control with minimal daily effort, as long as it is started under proper medical guidance.

I hope this information will help you.

Thanks.

Regarding follow up

Follow-up after a week.
Medically reviewed by iCliniq medical review team
Published At January 4, 2026
Reviewed At January 4, 2026

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

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Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

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