The Birth Control injection has the advantage of being harder to goof up, so it's far more reliable. The downside is there can be a long delay in return to fertility, so most health care providers don't recommend it for women who want to conceive in the next year. Breakthrough bleeding is common on Depo Provera, and some people have spotting that can last for months. There are things you can do to control the bleeding, but it drives some women nuts. If you don't like the shot, it will take a few months for it to get out of your system.
The birth control pill is easier to goof up, but has the advantage of quicker return to fertility after you stop. Breakthrough bleeding is still a risk, but it doesn't normally last longer than the first three months.
There are other considerations, but that's a short list. The shot is better for some people, and the pill for others.
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