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Expert Q&A:
How long after the Depo-Provera shot wears off can I get pregnant?

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Margaret Freda
Answered by Margaret Freda Ed.D., R.N., C.H.E.S., F.A.A.N.
"I've been a professional nurse working with pregnant women and parenting families since 1966," says Margaret Comerford Freda. "Pregnant women and parents need to know as much as possible about their own health and that of their children."

Margaret Comerford Freda, Ed.D., R.N., C.H.E.S., F.A.A.N., is a Professor in the Department of Obstetrics &; Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, and also serves as Director of Patient Education Programs for that department. Since 1993, Dr. Freda has been the Consultant for Nursing at the National March of Dimes Birth Defects Foundation and the Chair of the National March of Dimes Nurse Advisory Council. In addition, Dr. Freda serves as the editor of MCN, The American Journal of Maternal Child Nursing.

Dr. Freda received her Master's Degree in Nursing from New York University and her doctorate in Health Education from Columbia University. She has worked in women's health for her entire professional career. Dr. Freda has published 50 research articles in professional journals, and is a frequently invited speaker at nursing and medical conferences. She has written two books: Perinatal Patient Education, published by Lippincott Williams &; Wilkins, and Miscarriage After Infertility, published by Fairview Press, written with her daughter Carrie Semelsberger, who is also a nurse.

Dr. Freda has received several noteworthy awards, such as the Distinguished Professional Service Award and the First National Award for Excellence in Nursing Research from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), the Woman of Distinction Award and the Maternal Child Nurse of the Year Award from the March of Dimes, the Patient Care Award for Excellence in Patient Education from the American Academy of Family Physicians, the Research Recognition Award from Molloy College, and several Outstanding Research Paper awards at national conferences. She serves on the Scientific Advisory Council for the March of Dimes, and was selected to serve on the Select Panel of the Centers for Disease Control to advise on prenatal health. Dr. Freda has developed patient education booklets and videotapes that are now distributed nationally.

Dr. Freda has been married for four decades. She has two daughters, two sons-in-law, three grandsons, and a granddaughter.
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Question


I just quit using birth control -- the Depo-Provera shot. How long after the shot wears off can I get pregnant?

Answer


According to the book Contraceptive Technology (a commonly used reference for all types of contraception), Depo-Provera can delay fertility for six months to one year after it is discontinued. This doesn't mean that it will take you six months to one year to get pregnant, but rather that it could possibly take that long. Some women become pregnant after only a few months, so it's really difficult to predict. You should know, however, that there's nothing wrong with you if it takes up to one year. If you have been trying for a year with no success, however, it is time to see your health care provider. Also, if you are planning to become pregnant, be sure that you are taking 0.4 mg of folic acid (a B vitamin) every single day for months before you conceive, as this can prevent many birth defects. This amount of folic acid is contained in many multivitamins. Read the label of the vitamin bottle or check with your pharmacist.

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I was on the shot and one month later i got pregnant.

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