While we we don’t know whether it's directly linked to your pain, Depo Provera is commonly associated with a loss of bone mineral density (BMD), particularly in the top of the thigh bone, spine, and hip of adults.¹ A decrease in BMD results in weaker bones, which may lead to osteoporosis or bone fractures. Since women have a higher risk of developing osteoporosis than men, you may want to consider a BMD exam to ensure that you’re not experiencing rapid BMD loss.²

The birth control patch, called Xulane, is an option for women who are not comfortable with implants, which require a small incision. Xulane is a small beige patch that sticks to the skin, releasing synthetic hormones to prevent pregnancy. When used correctly, Xulane is 91-9% effective.³ Commonly known as “the pill,” oral contraceptives are another alternative. The NWHN does not recommend oral contraceptives that contain the progestin drospirenone, due to the increased risk of blood clots.⁴

Each contraceptive option has its pros and cons - including potential side effects. Work with your healthcare provider to weigh the risks and benefits of each to determine which contraceptive is best for you.

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References 

1. https://www.nwhn.org/depo-provera-and-bone-mineral-density/
2. https://www.nwhn.org/depo-provera-and-bone-mineral-density/
3. http://youngwomenshealth.org/2013/01/16/hormone-patch/
4. https://www.nwhn.org/contraceptive-safety-concerns-whats-a-responsible-feminist-to-do/