Is it normal to have bleeding with blood clots after taking contraceptive injections?

Question

Hello doctor,

I had my first Depo injection shot four months back; before that, I had never used any birth control. I did not have my period for a while. I went for the second shot after two months, and I have not stopped bleeding since. Some days are lighter than others; some days, there are clots. I used Mefenamic Acid prescribed by a doctor last week, but the bleeding is much heavier. I have also completed the Mefenamic Acid course. Should I be worried, or is this completely normal?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Contraceptives are hormonal pills that help to prevent ovulation or fertilization or change the cervix environment unfavorable for sperm. Every Contraceptive hormonal system has its side effects, which appear slightly differently in every woman in response to her body's hormonal cycle. Medroxyprogesterone injections also have side effects. It includes heavy, irregular bleeding, mood swings, and bone pain. According to your history, you did not have periods after the first shot, and from the start of the second shot, you have had bleeding associated with clots. Irregular and heavy bleeding is a side effect of the contraceptive infection. Continuous bleeding may cause anemia, and weakness and, in severe cases, may need a blood transfusion to relieve symptoms. Therefore, I suggest the following.

1. Have iron supplements daily.

2. Have a healthy, nutritious diet.

3. Have one urgent beta hCG test and complete blood count test. If beta hCG is negative for pregnancy, have Mefenamic Acid and Tranexamic Acid 500 mg daily for three days to reduce blood flow. Consult your specialist doctor, talk with them, and take medications with their consent.

4. In case of dizziness, fainting, and heavy passage of clots, please go to the hospital immediately.

I hope I was helpful to you.

Thank you.