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Updated: Jan 20, 2026

Identification and Dissection of Diverse Mouse Adipose Depots
Published on: July 11, 2019
Changes in bleeding patterns with depot medroxyprogesterone acetate subcutaneous injection 104 mg
Raquel D Arias1, John K Jain, Cosima Brucker
1Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA. rarias@hsc.usc.edu
Objective:
This study aims to assess changes in bleeding patterns with the use of depot medroxyprogesterone acetate (DMPA) 104 mg/0.65 ml subcutaneous injection (DMPA-SC 104).
Study Design:
An analysis was conducted using data from two 1-year, noncomparative clinical trials (N=1787) and a 2-year randomized study comparing DMPA-SC 104 (N=266) with DMPA intramuscular injection (DMPA-IM). Bleeding was analyzed per 30-day interval by category and number of days. Analyses also were performed for age and body mass index (BMI) subgroups and for the percentages of women shifting from bleeding/spotting to amenorrhea after each injection.
Results:
Each study showed decreased incidence of irregular bleeding and increased amenorrhea with continued use of DMPA-SC 104. Rates of amenorrhea at Month 12 (52-64% across studies) and Month 24 (71% in the 2-year trial) were comparable with those originally reported for DMPA-IM. Changes in bleeding patterns showed no consistent differences according to age or BMI. The percentages of subjects shifting from bleeding and/or spotting to amenorrhea increased with each subsequent injection.
Conclusion:
Clinical data show that the incidence of amenorrhea increases over time with the use of DMPA-SC 104.
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