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Contraception after bariatric surgery — DRCOG MCQ

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ModerateContraceptionContraception after bariatric surgeryDRCOG

A 33-year-old woman had Roux-en-Y gastric bypass 6 months ago. She asks for contraception and prefers pills. She has no contraindications to LARC. What would you advise?

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Correct answer: CAdvise a non-oral method because malabsorption may reduce oral reliability

Malabsorptive bariatric surgery can reduce reliability of oral contraception, so non-oral methods such as implant, injection or intrauterine contraception are preferred. Fertility may improve after weight loss, so contraception is important. Monthly emergency contraception is not an appropriate plan. Counselling should include delaying pregnancy after bariatric surgery according to specialist advice.

Reference: FSRH UKMEC; FSRH Overweight, Obesity and Contraception