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1 May 2026Oral drugsSource update: October 2021

Medroxyprogesterone Acetate Oral: Uses and Precautions

Oral medroxyprogesterone guidance for abnormal uterine bleeding, distinct from the injectable contraceptive form.

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Medroxyprogesterone oral
Prescription under medical supervision

Source reviewed

October 2021

Guide category

Oral drugs

Safety boundary

Prescription medicine information for clinician-guided use.

Kenza Health Hub presents this medicine page as structured health education. Check dose, route, interactions, pregnancy or breast-feeding considerations, and local protocol with a qualified clinician or pharmacist. Read our medical editorial policy.

This guide page is for structured reference only and does not replace a clinician, pharmacist, or emergency review. Dose choice, route choice, interactions, and safety decisions still need professional judgment.

Therapeutic action

Progestogen.

Indications

Abnormal uterine bleeding, especially functional uterine bleeding unrelated to pregnancy.

Forms and strengths

  • 10 mg tablet.

Dose and duration

Persistent abnormal uterine bleeding despite tranexamic acid therapy or heavy bleeding when tranexamic acid is contraindicated

  • Adolescent and adult: 20 mg 3 times daily for 7 days.

Long-term treatment of functional uterine bleeding

  • Adult: 10 mg once daily, up to 30 mg once daily if necessary. Continue according to clinical response.

Contra-indications, adverse effects, precautions

  • Do not administer to patients with breast cancer, severe hypertension, active thromboembolic disorders, uncontrolled or complicated diabetes, or severe or recent hepatic disease.
  • May cause menstrual irregularities, amenorrhoea, menometrorrhagia, breast tenderness, headache, weight gain, acne, mood change, abdominal pain, and gastrointestinal disturbances.
  • Pregnancy: contraindicated.
  • Breast-feeding: no contra-indication.

Source

MSF Essential drugs practical guidelines (January 2026)

This page combines source-derived medicine reference sections with Kenza editorial context, while leaving out the Storage and Remarks sections from the source batch.

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