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:

  1. 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.
  2. 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.

“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

 

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.


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.


Resources

Depo-Provera
www.depo-provera.com

Planned Parenthood Federation of America
www.plannedparenthood.org

American Medical Association
www.ama-assn.org

For more information on
parenting issues contact us:
Connecting with Kids
Published by CWK Network
www.connectingwithkids.com

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