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The
Shot
Sharnette twice became
a mother by mistake. Both time she was having sex and taking birth control
pills. She still got pregnant. “I found out I was taking the pills wrong,”
says Sharnette.
Sharnette is not alone.
While pills are effective, tens are careless. According to the National
Center for Health Statistics, one in four teens don’t follow the prescription.
It’s a problem for girls like Sharnette who refuse abstinence. “I said
my only choice not to get pregnant again was to either stop having sex
or get the shot. So, I decided to get the shot,” says Sharnette.
The shot is called
Depo-Provera It’s almost one hundred percent effective but experts debate
whether it is sin or salvation. A shot in the arm, at a local health clinic,
critics say Depo, as it is called, gives kids too much sexual freedom.
Unlike birth control pills there is no daily reminder of their choices.
Unlike condoms, Depo provides no protection from disease.
Some experts say Depo-Provera
is the lesser of two evils but it does provide extra insurance for kids
who make mistakes with more complicated forms of birth control.

What
Parents Should Know
Side Effects and Warnings:
- Most using Depo-Provera
stop having menstrual bleeding altogether or have irregular bleeding
or spotting while on the shot. Increased appetite which can lead to
weight gain is also a common side effect of the drug. Other side effects
can include headaches, nervousness, abdominal pain, dizziness and weakness
or fatigue.
- Girls with liver
disease, a history of blood clots or stroke, vaginal bleeding without
a know cause, breast cancer or known or suspected pregnancy should not
use Depo-Provera.
Pros
and Cons:
- Depo-Provera is
99.7 percent effective if the shot is received on time.
- The shot should
be administered every three months.
- Depo-Provera gives
no protection against sexually transmitted diseases.
- The ability to
get pregnant is sometimes delayed for up to one year after the last
shot.
- The shot is available
free of charge at many health clinics to minors without parental consent.
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“My only
choice not to get pregnant was to stop having sex or get the shot.
So, I decided to get the shot.”
--Sharnette,
age 18
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Depo-Provera
Depo-Provera
is manufactured by Pharmacia & Upjohn, Inc. The drug is very similar
to progesterone which is a hormone normally secreted by the ovaries
as part of the menstrual cycle. The shot is administered once every
three months and is over 99 percent effective. The shot is normally
administered in the buttocks or in the upper arm and is reversible.
When discontinued, normal ovarian function returns.
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Teen
Pregnancy
According to
statistics from the Alan Guttmacher Institute, teen pregnancy is
at an all-time low falling 14% since 1991 when teen pregnancy rates
were at an all time high. Many believe Depo-Provera which is particularly
popular among teenagers has played a key role in the decline.
Other factors
influencing the decline in the teen pregnancy rates include more
conservative attitudes about sex, a greater emphasis on abstinence
and increased use of condoms.
While teen pregnancy declined, the United States still has one
of the highest teen pregnancy rates in the developed world.
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