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nipples are extremely sore and I also have piles

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I have been off the depo-provera since October 2012 (I only had 3 injections) this past week my breast and nipples are extremely sore (they aren't normally before my period) I also have piles and I am very fatigued....(I do work hard but I have been off the last two days!) does this mean my period is coming or could I be pregnant?

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replied May 30th, 2013
Fertility Answer A43622
Welcome to ehealthforum.
The effect of the hormones contained in the Depo shot usually gets out of your body within few months, but the fertility/ovulation may take about 1.5 years to return (the longer you are on hormonal birth control use, the longer it would take your fertility/ovulation to return). If your fertility/ovulation had returned after coming off the Depo shot, then chances of pregnancy cannot be ruled out. If you have missed your periods, or if periods have not started within 10 days of expected period dates, or if you suspect chances of pregnancy, consider visiting your doctor/gynecologist at the earliest for thorough examination (to confirm pregnancy related changes/signs in body) and blood/serum HCG level test (to confirm/rule out pregnancy accurately). If pregnancy gets ruled out, further evaluation would be done to look for the underlying cause for your symptoms. Treatment as appropriate (based on examination findings and investigations results) would be started to help you control the symptoms. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Take adequate rest. Drink plenty of water. Maintain healthy diet and lifestyle.
Take care.

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