- Concern about delayed return to fertility with DMPA was expressed by 5.0% of NET-EN users and 14.0% indicated that they chose NET-EN because it did not delay return to fertility.
Breastfeeding also has many health and emotional benefits for the mother, including decreased blood loss postpartum, delayed return to fertility, and decreased risk of cancer of the breast and ovaries.
NET-EN appears to have a slightly better side effect profile and a slightly shorter delay in return to fertility.
Furthermore, if the delay in return to fertility were predictable, many suggested that a longer return to fertility might be perceived as a benefit.
Nevertheless, to the extent that this is possible, a comparative synopsis of the efficacy, side effects, delay in return to fertility and safety of DMPA and NET-EN is provided in this section.
The average delay in return to fertility for women using Depo-Provera is 9 months after their last injection., Providers who mistakenly believe that average return to fertility for injectable contraception is 2 or more years may deny or discourage use of this highly effective method in younger, childless, or low-parity women.
That different products are considered to be more appropriate for different age groups may be linked to the perception that DMPA is "stronger" while NET-EN is "weaker", and may well be related to concerns about delay in return to fertility after IPC use, particularly with DMPA.
Women attributed delays in return to fertility to bleeding side effects of contraceptive methods.
In the short term, breastfeeding delays the return to fertility and in the long term, it reduces type 2 diabetes and breast, uterine and ovarian cancer.
These sessions had three objectives: to enhance the availability of evidence to support providers in counseling about DMPA; to address concerns about its side effects and perceived harm (such as delays in returns to fertility); and to convey information about its potential benefits (such as protective effects against cancer).
It is possible that the strong emphasis on homeownership and where child care is problematic that it creates a situation where couples who are unwilling to forgo ownership decide to delay fertility.
