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POP start day 2 — DFSRH MCQ

Instant feedback + full explanation. One question, done properly.

HardProgestogen-only contraceptionPOP start day 2DFSRH

A desogestrel POP user is 14 hours late taking today’s pill and has had no unprotected intercourse. What should she do?

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

Reveal the answer and explanation

Correct answer: B — Take it now, continue on schedule and use condoms for 2 days

The best answer is “Take it now, continue on schedule and use condoms for 2 days”. A desogestrel pill is missed when it is more than 12 hours late. The missed pill should be taken as soon as remembered, subsequent pills continued at the usual time and additional contraception used until correct pill-taking has been re-established for 48 hours. Emergency contraception assessment is only added when relevant unprotected intercourse has occurred around the missed-pill interval.

Reference: CoSRH/FSRH, Progestogen-only Pills (August 2022, amended April 2026): https://www.cosrh.org/Common/Uploaded%20files/documents/fsrh-ceu-clinical-guideline-progestogen-only-pills-aug22-amended-11july-2023-.pdf