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Implant after bariatric surgery — DFSRH MCQ

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HardProgestogen-only contraceptionImplant after bariatric surgeryDFSRH

A 35-year-old woman had Roux-en-Y gastric bypass and takes oral iron. She wants highly effective contraception and is anxious about malabsorption. What is the most appropriate contraceptive method?

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

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Correct answer: EEtonogestrel implant

Non-oral LARC such as the implant avoids concerns about oral absorption after malabsorptive bariatric surgery. Oral methods may be less reliable depending on procedure and symptoms. Emergency contraception is not an ongoing method.

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