HomeAnswersObstetrics and Gynecologydepot injection for contraceptionI have black discharge after Depo-Provera injection. Please help.

Is it normal to have black discharge after Depo-Provera injection?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Sameer Kumar

Medically reviewed by

iCliniq medical review team

Published At May 24, 2016
Reviewed AtJune 27, 2023

Patient's Query

Hi doctor,

I had an abortion four months ago, I never went back to get checked out and it was a D and E. I am also on Depo-Provera, second dose. I am experiencing dark brown and black discharge with clots. I feel bloated and I have bits of pain. Is this normal?

Answered by Dr. Sameer Kumar

Hello,

Welcome to icliniq.com.

This is breakthrough bleeding and is a common side effect of Depo-Provera injections (Medroxyprogesterone). This may be seen usually after few days once the lady has increased day-to-day stressors during daily chores. This tends to disrupt the already being maintained balance of progesterone with Depo-Provera. So, there is no need to worry if the bleeding is low, else antifibrinolytics like Tranexamic acid can be opted for to stop such bleeding episodes. Ideally ultrasonography confirmation of completion of procedure is done after completing the procedure itself, so there is actually no further need of USG after a D and C (dilation and curettage).

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

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