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DMPA under 18 — DFSRH MCQ

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HardProgestogen-only contraceptionDMPA under 18DFSRH

A competent 16-year-old declines implant and IUD after discussion, struggles with daily tablets and requests DMPA. She has no safeguarding concern or contraindication. What is the best response?

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

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Correct answer: B — Decline DMPA citing adolescent bone health

DMPA is not contraindicated solely because a patient is under 18. A competent young person can choose it after balanced counselling about bleeding, bone health, alternatives and delayed return to fertility.

Reference: FSRH, Progestogen-only Injectable guidance (amended July 2023): https://www.cosrh.org/Common/Uploaded%20files/documents/progestogen-only-injectable-december-2014-amended-11july2023.pdf