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EC after DMPA late — DFSRH MCQ

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ModerateEmergency contraceptionEC after DMPA lateDFSRH

A 30-year-old woman is 15 weeks after her DMPA injection and had UPSI two days ago. She wants to continue DMPA and declines a copper IUD. What is the most appropriate management?

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

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Correct answer: E — Offer oral EC, give DMPA if appropriate and advise condoms for 7 days

Late DMPA with recent UPSI requires EC assessment and additional precautions after reinjection. If ulipristal is used, immediate DMPA can reduce its effect and needs counselling. The exact timing since last injection matters.

Reference: FSRH Emergency Contraception Guideline 2017 amended 2023; FSRH UPA breastfeeding statement 2025; BNF