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Injectable contraception is a type of hormonal contraceptive which is divided into two types, namely combined injection contraceptives and progestin injection contraceptives. One of the frequently used injectable contraceptives is the 3-month injectable contraceptive containing Depo-Provera (Depo Medroxy Progesterone Acetate). This contraceptive has good effectiveness, but has some side effects, such as menstrual disorders, weight gain, nausea, headaches, breast pain, and so on. Menstrual disorders that occur in the form of amenorrhea, hypermenorrhea, and spotting. Side effects that arise are the biggest cause of acceptors to stop using injectable contraceptives. A number of women complained that the use of contraceptive methods caused menstrual problems. However, it is hormonal in nature and not everyone experiences the same complaints. To find out " There is a long-standing relationship between the use of Depo Medroxy Progesterone Acetate KB injections and menstrual disorders at BPM Rosalina Munthe, in 2025. This type of research uses a cross sectional research design with chi square with a sampling technique that is total sampling. The results showed that the p-value of the relationship between DMPA injection duration and menstrual disorders was 0.03 <0.05. There is a long-standing relationship between the use of Depo Medroxy Progesterone Acetate KB Injections and Menstrual Disorders at BPM Rosalina Munthe, in 2025.

Contraception is all kinds of tools or methods used by one party or both parties to avoid or prevent pregnancy (Sety, 2014). Contraceptive methods have developed with all the advantages and disadvantages of each method. Contraceptive methods can be divided into two, namely long-term contraceptive methods (Longterm Contraceptive Method), which include these methods are lUD (Intra Uterine Device) or IUD (Intrauterine Contraceptive Device), Implants, Vasectomy and Tubectomy. Meanwhile, non-long-term methods (Non-Long Contraceptive Method) include injections, pills, vaginal contraception and condoms. Apart from that, there are also natural birth control methods that follow the pregnancy cycle (Susilowati and Prasetyo, 2015). A side effect of hormonal contraception is menstrual disorders. The main side effects of DMPA (Depot Medroxyprogesteron Acetate) contraception and implants are menstrual disorders in the form of amenorrhea, spotting, changes in the cycle, frequency, length of menstruation and the amount of blood lost. The side effects of a contraceptive method are a factor that needs to be considered in determining the decision regarding the continued use of a contraceptive method (Hartanto, 2013). There were 12 respondents (70.6%) of women of childbearing age who used implant-type hormonal contraceptives who experienced menstrual disorders, the average complaint of which was the absence of menstruation for > 3 months (amenorrhea) and 5 respondents (29.4%) who not experiencing menstrual disorders. There were no 1-month injection type hormonal contraceptives who experienced menstrual disorders, while there were 4 people who were disturbed (100%). There were 13 respondents (76.5%) of the 3-month injectable type of hormonal contraception, while 4 respondents (23.5%) did not experience menstrual disorders. Of the 38 respondents who used hormonal contraception who met the requirements, they were analyzed statistically using the Chi Square test which has been carried out, the result was a p value of 0.013 (p<0.05) which indicates that there is a relationship between the type of hormonal contraception and menstrual disorders.

Contraception is all kinds of tools or methods used by one party or both parties to avoid or prevent pregnancy (Sety, 2014). Contraceptive methods have developed with all the advantages and disadvantages of each method. Contraceptive methods can be divided into two, namely long-term contraceptive methods (Longterm Contraceptive Method), which include these methods are lUD (Intra Uterine Device) or IUD (Intrauterine Contraceptive Device), Implants, Vasectomy and Tubectomy. Meanwhile, non-long-term methods (Non-Long Contraceptive Method) include injections, pills, vaginal contraception and condoms. Apart from that, there are also natural birth control methods that follow the pregnancy cycle (Susilowati and Prasetyo, 2015). A side effect of hormonal contraception is menstrual disorders. The main side effects of DMPA (Depot Medroxyprogesteron Acetate) contraception and implants are menstrual disorders in the form of amenorrhea, spotting, changes in the cycle, frequency, length of menstruation and the amount of blood lost. The side effects of a contraceptive method are a factor that needs to be considered in determining the decision regarding the continued use of a contraceptive method (Hartanto, 2013). There were 12 respondents (70.6%) of women of childbearing age who used implant-type hormonal contraceptives who experienced menstrual disorders, the average complaint of which was the absence of menstruation for > 3 months (amenorrhea) and 5 respondents (29.4%) who not experiencing menstrual disorders. There were no 1-month injection type hormonal contraceptives who experienced menstrual disorders, while there were 4 people who were disturbed (100%). There were 13 respondents (76.5%) of the 3-month injectable type of hormonal contraception, while 4 respondents (23.5%) did not experience menstrual disorders. Of the 38 respondents who used hormonal contraception who met the requirements, they were analyzed statistically using the Chi Square test which has been carried out, the result was a p value of 0.013 (p<0.05) which indicates that there is a relationship between the type of hormonal contraception and menstrual disorders

According to the World Health Organization (WHO) in 2017 contraceptive use has increased in many parts of the world, especially in Asia and Latin America and is lowest in Sub-Saharan Africa. Globally, users of modern contraception have increased significantly from 35% in 1970 to 63% in 2017. The 2019 Indonesia Health Profile data shows that most active family planning participants choose injections and pills as contraceptives and are even very dominant (more than 80 %) compared to other methods; inject (63.7%), Pill (17.0%), Implant (7.4%), IUD/IUD (7.4%), Condom (1.2%), MOW (Women's Operative Method) (2 .7%), MOP (Male Operative Method) (0.5%). (RI Ministry of Health, 2020). The side effect of hormonal contraception is disruption of menstruation. The main side effects of DMPA (Depot Medroxyprogesterone Acetate) contraception and implants are menstrual disorders in the form of amenorrhea, spotting, changes in cycles, frequency, length of menstruation and amount of blood loss. The side effects of a contraceptive method are a factor that needs to be considered in determining the decision to continue using the contraceptive method (Hartanto, 2013). The type of research used in this research is analytic with a cross sectional approach. Cross sectional is a research approach that emphasizes the time of measurement/observation of independent variable data and depends only once at a time. The research sampling technique is total sampling. This research will be conducted at the Pratama Vina Clinic, Medan Baru District, Medan City in 2023. The results of the chi-squere test d. There is a significant relationship between the type of hormonal contraception and menstrual disorders in women of childbearing age at the Pratama Vina Clinic, Medan Baru District, Medan City, in 2023 (p= 0.013) and there is a significant relationship between the length of use of hormonal contraception and menstrual disorders in women of childbearing age at the Pratama Vina Clinic, Medan Baru District, Medan City in 2023 (p=0.031).