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Is self-administered DMPA an answer to contraception access in the post-Roe era?
Lindsay Nakaishi1, Gregory Castelli1
1UPMC St. Margaret Family Medicine Residency Program, Pittsburgh, PA.
The Journal of Family Practice
|March 22, 2023
Summary
A new prefilled formulation of depot medroxyprogesterone acetate may improve patient access to effective contraception. This innovation offers a potentially more accessible option compared to provider-administered injections.
Area of Science:
- Reproductive Health
- Pharmaceutical Sciences
- Contraception Technology
Background:
- Depot medroxyprogesterone acetate (DMPA) is a widely used injectable contraceptive.
- Current administration requires in-clinic provider administration, which can be a barrier to access.
- Improving accessibility to long-acting reversible contraception (LARC) is a public health priority.
Purpose of the Study:
- To evaluate a prefilled formulation of DMPA for potential improvements in patient access.
- To compare the accessibility of a prefilled DMPA formulation versus traditional provider-administered DMPA.
Main Methods:
- Comparative analysis of administration routes for DMPA.
- Assessment of patient-reported barriers to accessing provider-administered DMPA.
- Evaluation of the potential for self-administration or simplified administration with a prefilled formulation.
Main Results:
- A prefilled formulation of DMPA demonstrates potential for enhanced patient access.
- Reduced reliance on healthcare provider visits may be possible with this new formulation.
- Improved convenience and adherence could result from increased accessibility.
Conclusions:
- Prefilled DMPA formulations represent a promising advancement in contraceptive access.
- This innovation may overcome existing barriers associated with provider-administered injectable contraceptives.
- Further research should explore patient uptake and long-term effectiveness of prefilled DMPA.
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