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Depo acts by preventing the egg cells from ripening. If an egg is not released from the ovaries during the menstrual cycle, it cannot become fertilized by sperm and result in pregnancy. (Health Information for Women) It also causes changes in the lining of the uterus that makes it less likely for pregnancy to occur. During the first year one may have changes in the menstrual bleeding pattern. One may notice: Irregular or unpredictable bleeding or spotting, menstrual bleeding that is slightly heavier or lighter than normal or no menstrual bleeding at all. It is important to note that any unusually heavy or continuous bleeding should be reported to one's health care provider...
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