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FSH on POP over 50 — DFSRH MCQ

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HardSpecial CircumstancesFSH on POP over 50DFSRH

A 51-year-old desogestrel POP user is amenorrhoeic and wants to stop contraception before age 55. She asks about blood tests. What is the most appropriate management?

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Correct answer: D — Consider FSH-based guidance while continuing POP until criteria are met

In women over 50 using progestogen-only contraception, FSH can sometimes support stopping decisions using specific criteria. Amenorrhoea on POP alone is not enough. CHC suppresses gonadotrophins and is less useful for this purpose.

Reference: FSRH Contraception After Pregnancy Guideline; UKMEC 2025; FSRH Clinical Guidelines; NICE safeguarding guidance