Can I be pregnant while on the Depo shot?

Patient

Q: I had my baby on March 12th, 2014. I got the first depo shot at the end of April. I'm not positive. But I think it was the 26th. I had a period after I got the shot I've been on the depo shot for almost 3 months now and I've missed my last period. On Monday of this week I had brown spotting with cramps. On Tuesday I had pink spotting with cramps. Today is Wednesday and the spotting has stopped, but I still have cramping, which is just getting worse. What can this mean?

Doctor

A:   Thank you for your question. Bleeding with menstrual cramps can still occur if you are on the depo shot. This is a very commonly reported complaint. The chances of becoming pregnant while on the depo shot is less than 1%. It is likely that your symptoms are due to your menstrual cycle. However, if for any reason your symptoms become worse, please seek medical attention as soon as you can.

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