The study of weight gain in long-term depot-medroxyprogesterone acetat
e (DMPA) accepters is reported. The objectives were to study and compa
re weight gain in long-term DMPA acceptors with intrauterine device (I
UD) accepters. Fifty healthy women who had been using DMPA for 120 mon
ths were compared to 50 IUD accepters who had been using IUD for 120 m
onths as control. Age, parity, income, and weight at the initiation of
contraception were matched. The mean +/- SD body weight at 120 months
in DMPA and IUD groups were 60.9 +/- 7.5 kg and 62.1 +/- 9.3 kg, resp
ectively. The mean change in body weight in DMPA and IUD groups were 1
0.9 +/- 2.2 and 11.2 +/- 2.5 kg. No difference in mean body weight bet
ween DMPA and IUD accepters was demonstrated. It is suggested that wei
ght gain in long-term DMPA use should not be different from nonhormona
l contraception. DMPA should not have an unfavorable effect on weight
in long-term users. (C) 1998 Elsevier Science Inc. All rights reserved
.