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Missed CHC pill — DFSRH MCQ

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EasyCombined hormonal contraceptionMissed CHC pillDFSRH

A 27-year-old woman using a 21-day combined pill missed one pill yesterday in week 2 and took it this morning. She has otherwise taken the pack correctly. What is the most appropriate management?

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

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Correct answer: B — Continue the pack without additional precautions

One missed combined pill after otherwise correct use does not require extra precautions. Two or more missed pills, especially in week 1, would change management. Avoid over-treating a single late pill.

Reference: FSRH Combined Hormonal Contraception Guideline; UKMEC 2025; BNF