Sayana Press 104mg/0.65ml Injection belongs to a group of medicines called progestogens used as a long-acting contraceptive. Contraception is a procedure that aims to prevent unwanted pregnancy for safe family planning.

Sayana Press 104mg/0.65ml Injection contains medroxyprogesterone acetate (DMPA), which is similar to (but not the same as) the natural hormone progesterone, which is produced in the ovaries during the second half of your menstrual cycle. During your menstrual cycle, Sayana Press 104mg/0.65ml Injection prevents an egg from fully maturing and being discharged from the ovaries. If an egg is not released, it cannot be fertilised by sperm and result in pregnancy.

Sayana Press 104mg/0.65ml Injection will be administered by your doctor or healthcare professional. In some cases, you may have nervousness, headache, stomach pain or discomfort, weight increase or decrease, libido decreased (reduced sex drive), dizziness, and feeling sick and depressed. Most of these side effects of Sayana Press 104mg/0.65ml Injection do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Let your doctor know before prescribing Sayana Press 104mg/0.65ml Injection if you have, or had migraine headaches, diabetes, Severe pain or swelling in the calf, eye disorders, depression, liver or kidney disorders, osteoporosis, asthma, or epilepsy. And also inform your doctor if you are pregnant or expecting pregnancy or breastfeeding or taking if you are using certain medicines such as high-dose glucocorticoids (steroids).

Sayana Press 104mg/0.65ml Injection contains medroxyprogesterone acetate (DMPA), which is close to (but not the same as) progesterone, a natural hormone secreted in the ovaries during the second half of your menstrual cycle. Sayana Press 104mg/0.65ml Injection prevents an egg from fully developing and being released from the ovaries during your menstrual cycle. An egg that is not released cannot be fertilised by sperm and result in pregnancy. On the other hand, it also induces changes in the lining of your womb, making conception less likely. It also thickens the mucus at the womb's opening, making sperm entry more difficult.

• Nervousness
• Headache
• Stomach pain or discomfort
• Weight increase or decrease
• Depression
• Libido decreased (reduced sex drive)
• Dizziness
• Feeling sick
• Feeling bloated
• Hair loss
• Acne
• Rash
• Back pain
• Vaginal discharge
• Breast tenderness
• Fluid retention
• Weakness

Sayana Press 104mg/0.65ml Injection should not be used if you are allergic to any of its components. Inform your doctor if you are allergic to any of the substances. Before taking Sayana Press 104mg/0.65ml Injection, inform your healthcare provider if you have or have had migraine headaches, vaginal bleeding, blood disorders (such as deep vein thrombosis), diabetes, severe pain or swelling in the calf, eye diseases, depression, liver (such as jaundice) or kidney disorders, osteoporosis, asthma, or epilepsy and hormone-dependent cancer of the breast or sex organs. Also, tell your doctor if you are pregnant, expecting a pregnancy, breastfeeding, or using certain medications, such as high-dose glucocorticoids (steroids).

Drug-Drug Interactions: Sayana Press 104mg/0.65ml Injection may have an interaction with medicines, including aminoglutethimide, or other medicines that thin your blood (anticoagulants such as warfarin) and anti-seizure medicines (e.g. topiramate).

Drug-Food Interactions: Sayana Press 104mg/0.65ml Injection may interact with grapefruit.

Drug-Disease Interactions: Inform your doctor if you have abnormal genital bleeding, low level of bone minerals, breast cancer, liver disease, and thromboembolism (blood clot problem).

• WARFARIN
• TOPIRAMATE

• Keep your weight under control with a body mass index (BMI) of 19.5-24.9.
• Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
• Including heart-healthy omega-3 fatty acid-containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil to lower your elevated blood pressure.
• Do regular exercise to maintain weight fluctuations caused due to Sayana Press 104mg/0.65ml Injection.
• Avoid chronic stress and exercise like running, as it might increase vaginal bleeding.
• Try to be stress-free to improve your mood swings due to hormonal fluctuations. 
• Monitor your blood pressure daily and if there is too much fluctuation, immediately contact your doctor.
• Monitor your blood sugar level and blood pressure regularly to avoid any complications.
• Quitting smoking and not drinking alcohol is the best strategy to lower the risk of any complications.

Contraception: It is a procedure that aims to prevent pregnancy. A woman can only get pregnant if a man's sperm fertilizes her egg. Contraception aims to prevent this from happening by keeping egg and sperm apart by stopping egg production or not letting the uterus wall become thick. As a result, no fertilization takes place, so contraception is a safe method for family planning.