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Desogestrel POP missed pill — DFSRH MCQ

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EasyProgestogen-only contraceptionDesogestrel POP missed pillDFSRH

A 22-year-old desogestrel POP user is 15 hours late taking her pill and had unprotected sex yesterday. She has taken previous pills correctly. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: ETake the missed pill, continue POP, use condoms for 2 days and consider EC

A desogestrel POP is missed if more than 12 hours late; she should take it, continue, use condoms for 2 days and assess need for EC. No additional precautions would be correct within the 12-hour window. The key discriminator is POP type.

Reference: FSRH Progestogen-only Pills Guideline; FSRH Progestogen-only Implant Guideline; FSRH Progestogen-only Injectable Guideline; UKMEC 2025; BNF