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Fertility awareness postpartum — DFSRH MCQ

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ModerateReproductive HealthFertility awareness postpartumDFSRH

A 32-year-old woman 4 weeks postpartum with irregular bleeding and mixed feeding asks to use fertility awareness to avoid pregnancy. What would you advise this patient?

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

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Correct answer: C — Fertility awareness is unreliable in this early postpartum context

Early postpartum cycles and mixed feeding make fertility signs difficult to interpret. More reliable methods should be offered if pregnancy avoidance is important. Fertility awareness requires stable cycles and motivated use.

Reference: FSRH Contraception After Pregnancy Guideline; NICE Abortion Care Guideline; NICE Antenatal Care; BNF