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Sayana Press and a case of likely lipoatrophy
  1. Jane Bush
  1. The Centre for Contraception, GU Medicine and HIV Services, North Devon Healthcare Trust, 31 Sidwell St., Exeter EX4 6NN, UK
  1. Correspondence to Dr Jane Bush, The Centre for Contraception, GU Medicine and HIV services, North Devon Healthcare Trust, Exeter EX4 6NN, UK; jane.bush{at}

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We have been offering subcutaneous micronised depot medroxyprogesterone acetate (Sayana Press) (DMPA-SC) as an option to women already using the injectable contraceptive, DepoProvera (DMPA-IM) for the last 18 months. To date we have 23 women who are self-administering Sayana Press.

One woman, a healthcare professional used to giving injections and one of our earliest Sayana Press users, reported a significant degree of soreness at the injection site at her annual review in December 2017. She described each site as being acutely tender, even to light touch, …

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