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

Zainordin, Nur Aisyah and Mohd Shah, Fatimah Zaherah and Abdul Ghani, Rohana (2019) Partial adrenal suppression with prolonged use of depo-provera / Nur Aisyah Zainordin, Fatimah Zaherah Mohd Shah and Rohana Abdul Ghani. Journal of Clinical and Health Sciences, 4 (1). pp. 1-3. ISSN 0127-984X

Abstract

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.

Metadata

Item Type: Article
Creators:
Creators
Email / ID Num.
Zainordin, Nur Aisyah
UNSPECIFIED
Mohd Shah, Fatimah Zaherah
UNSPECIFIED
Abdul Ghani, Rohana
UNSPECIFIED
Subjects: Q Science > QP Physiology > Cerebral cortex
Q Science > QP Physiology > Cerebral cortex > Auditory cortex. Sensorimotor cortex
Divisions: Universiti Teknologi MARA, Selangor > Puncak Alam Campus > Faculty of Medicine
Journal or Publication Title: Journal of Clinical and Health Sciences
UiTM Journal Collections: UiTM Journal > Journal of Clinical and Health Sciences (JCHS)
ISSN: 0127-984X
Volume: 4
Number: 1
Page Range: pp. 1-3
Keywords: Addison, Adrenal Suppression, Depro-Provera, Depot Medroxyprogesterone Acetate (DMPA), cortisol
Date: June 2019
URI: https://ir.uitm.edu.my/id/eprint/30083
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30083

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