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LARC counselling — DRCOG MCQ

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HardContraceptionLARC counsellingDRCOG

A 19-year-old wants highly effective reversible contraception for several years and often forgets tablets. She is unsure which method she prefers. What should be discussed?

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Correct answer: C — Implant, intrauterine and injectable methods with comparative counselling

The best answer is “Implant, intrauterine and injectable methods with comparative counselling”. Counselling should cover all suitable long-acting reversible options, including effectiveness, duration, bleeding effects, risks, insertion or injection, return to fertility and STI protection. Nulliparity and young age do not themselves exclude intrauterine contraception; the final choice is hers.

Reference: NICE CG30: Long-acting reversible contraception: https://www.nice.org.uk/guidance/cg30/chapter/recommendations