Nearly all women can use monthly injectables safely and effectively, including women who:

• Have or have not had children
• Are not married
• Are of any age, including adolescents and women over 40 years old
• Have just had an abortion or miscarriage
• Smoke any number of cigarettes daily and are under 35 years old
• Smoke fewer than 15 cigarettes daily and are over 35 years old
• Have anemia now or had anemia in the past
• Have varicose veins
• Are infected with HIV, whether or not on antiretroviral therapy (see Monthly Injectables for Women With HIV)

Women can begin using monthly injectables:

• Without a pelvic examination
• Without any blood tests or other routine laboratory tests
• Without cervical cancer screening
• Without a breast examination
• Even when a woman is not having monthly bleeding at the time, if it is reasonably certain she is not pregnant (see Pregnancy Checklist)