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Perimenopause stopping contraception — DFSRH MCQ

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ModerateSpecial CircumstancesPerimenopause stopping contraceptionDFSRH

A 52-year-old woman not using hormonal contraception has had no periods for 14 months and wants to stop condoms. Pregnancy test is negative. What would you advise this patient?

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Correct answer: E — Contraception can usually be stopped after 12 months of amenorrhoea over age 50

Women over 50 can usually stop contraception after 12 months of natural amenorrhoea. Under 50, 2 years is usually advised. Hormonal methods can obscure bleeding patterns.

Reference: FSRH Contraception After Pregnancy Guideline; UKMEC 2025; FSRH Clinical Guidelines; NICE safeguarding guidance