Partial adrenal suppression with prolonged use of depo-provera / Nur Aisyah Zainordin, Fatimah Zaherah Mohd Shah and Rohana Abdul Ghani.

A 49-year old patient presented with symptoms of adrenal suppression following an attempt to withdraw Depo-Provera or Depot Medroxyprogesterone Acetate (DMPA) injection. She had been receiving DMPA injections for the past 16 years for contraception. She was initially prescribed DMPA by her gynaecolo...

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Main Authors: Zainordin, Nur Aisyah, Mohd Shah, Fatimah Zaherah, Abdul Ghani, Rohana
Format: Article
Language:English
Published: Universiti Teknologi MARA Cawangan Selangor 2019
Subjects:
Online Access:https://ir.uitm.edu.my/id/eprint/30083/1/AJ_NUR%20AISYAH%20ZAINORDIN%20JCHS%20B%2019.pdf
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author Zainordin, Nur Aisyah
Mohd Shah, Fatimah Zaherah
Abdul Ghani, Rohana
author_facet Zainordin, Nur Aisyah
Mohd Shah, Fatimah Zaherah
Abdul Ghani, Rohana
author_sort Zainordin, Nur Aisyah
collection UITM
description A 49-year old patient presented with symptoms of adrenal suppression following an attempt to withdraw Depo-Provera or Depot Medroxyprogesterone Acetate (DMPA) injection. She had been receiving DMPA injections for the past 16 years for contraception. She was initially prescribed DMPA by her gynaecologist but later on began obtaining the medication directly from a private pharmacy without prior consultation from her gynaecologist. Clinically, she had been experiencing significant weight gain and appeared cushingoid. Blood investigations confirmed partial adrenal suppression with presence of an adrenal incidentaloma. This case reports a known side effect of DMPA but occurring at a much lower dose than previously described. It also highlights the need to increase the awareness of the insidious side effect of DMPA and to avoid unsupervised use of the drug.
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spelling oai:ir.uitm.edu.my:300832020-04-22T04:21:45Z https://ir.uitm.edu.my/id/eprint/30083/ Partial adrenal suppression with prolonged use of depo-provera / Nur Aisyah Zainordin, Fatimah Zaherah Mohd Shah and Rohana Abdul Ghani. jchs Zainordin, Nur Aisyah Mohd Shah, Fatimah Zaherah Abdul Ghani, Rohana Cerebral cortex Auditory cortex. Sensorimotor cortex A 49-year old patient presented with symptoms of adrenal suppression following an attempt to withdraw Depo-Provera or Depot Medroxyprogesterone Acetate (DMPA) injection. She had been receiving DMPA injections for the past 16 years for contraception. She was initially prescribed DMPA by her gynaecologist but later on began obtaining the medication directly from a private pharmacy without prior consultation from her gynaecologist. Clinically, she had been experiencing significant weight gain and appeared cushingoid. Blood investigations confirmed partial adrenal suppression with presence of an adrenal incidentaloma. This case reports a known side effect of DMPA but occurring at a much lower dose than previously described. It also highlights the need to increase the awareness of the insidious side effect of DMPA and to avoid unsupervised use of the drug. Universiti Teknologi MARA Cawangan Selangor 2019-06 Article PeerReviewed text en https://ir.uitm.edu.my/id/eprint/30083/1/AJ_NUR%20AISYAH%20ZAINORDIN%20JCHS%20B%2019.pdf Partial adrenal suppression with prolonged use of depo-provera / Nur Aisyah Zainordin, Fatimah Zaherah Mohd Shah and Rohana Abdul Ghani. (2019) Journal of Clinical and Health Sciences <https://ir.uitm.edu.my/view/publication/Journal_of_Clinical_and_Health_Sciences/>, 4 (1). pp. 1-3. ISSN 0127-984X https://jchs-medicine.uitm.edu.my/index.php
spellingShingle Cerebral cortex
Auditory cortex. Sensorimotor cortex
Zainordin, Nur Aisyah
Mohd Shah, Fatimah Zaherah
Abdul Ghani, Rohana
Partial adrenal suppression with prolonged use of depo-provera / Nur Aisyah Zainordin, Fatimah Zaherah Mohd Shah and Rohana Abdul Ghani.
title Partial adrenal suppression with prolonged use of depo-provera / Nur Aisyah Zainordin, Fatimah Zaherah Mohd Shah and Rohana Abdul Ghani.
title_full Partial adrenal suppression with prolonged use of depo-provera / Nur Aisyah Zainordin, Fatimah Zaherah Mohd Shah and Rohana Abdul Ghani.
title_fullStr Partial adrenal suppression with prolonged use of depo-provera / Nur Aisyah Zainordin, Fatimah Zaherah Mohd Shah and Rohana Abdul Ghani.
title_full_unstemmed Partial adrenal suppression with prolonged use of depo-provera / Nur Aisyah Zainordin, Fatimah Zaherah Mohd Shah and Rohana Abdul Ghani.
title_short Partial adrenal suppression with prolonged use of depo-provera / Nur Aisyah Zainordin, Fatimah Zaherah Mohd Shah and Rohana Abdul Ghani.
title_sort partial adrenal suppression with prolonged use of depo provera nur aisyah zainordin fatimah zaherah mohd shah and rohana abdul ghani
topic Cerebral cortex
Auditory cortex. Sensorimotor cortex
url https://ir.uitm.edu.my/id/eprint/30083/1/AJ_NUR%20AISYAH%20ZAINORDIN%20JCHS%20B%2019.pdf
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