Overview
The shot is given every 13 weeks. The pills are used with estrogen after menopause to protect the uterus.
What it's used for
- Birth control (shot)
- Abnormal uterine bleeding and missed periods (pills)
- Protecting the uterus during estrogen therapy (pills)
- Endometriosis pain (subQ shot)
How to take it
- Shot: get it every 13 weeks; mark the next date.
- Pills: take as prescribed for the days your provider sets.
Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.
Side effects
Common side effects
- Irregular bleeding or spotting
- Periods stopping (with the shot)
- Weight gain
- Headache
- Mood changes
Warnings
- Boxed warning (shot): bone thinning with long-term use. Get calcium and vitamin D. Use for more than 2 years only if other methods aren't right.
- Fertility can take months to return after stopping the shot.
- It doesn't protect against STIs.
Other medicines, foods, and alcohol
- Some seizure medicines may lower its effect (pills).
Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.
Pregnancy and breastfeeding
Not used during pregnancy. The shot is fine while breastfeeding.
Missed doses, overdose, and storage
If you miss a dose
Shot: if you're more than 2 weeks late (more than 15 weeks since your last shot), you may need a pregnancy test before the next shot, and you should use backup birth control. Pills: take it when you remember unless it's almost time for the next dose.
If someone takes too much
Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.
Storing it
Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.
Conditions it's used for
Sources
- DailyMed: FDA drug label for Medroxyprogesterone (U.S. National Library of Medicine)
- MedlinePlus: Drugs, herbs, and supplements
- FDA: Drugs@FDA
Last updated 2026-11-13.