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Depot and weight gain concern — DFSRH MCQ

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ModerateProgestogen-only contraceptionDepot and weight gain concernDFSRH

A 20-year-old woman requests DMPA but is concerned because she gained 8 kg during a previous 6-month trial. She wants a method that does not require daily action. What is the most appropriate contraceptive method?

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

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Correct answer: C — Etonogestrel implant

The implant is a highly effective non-daily method and may suit someone concerned about DMPA-associated weight gain. Restarting DMPA without acknowledging prior experience is less patient-centred. Counselling should compare LARC options.

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