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Quick-start contraception — DRCOG MCQ

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ModerateContraceptionQuick-start contraceptionDRCOG

A 22-year-old woman requests the contraceptive implant. She had unprotected sex 3 days ago and her last period was 3 weeks ago. Pregnancy cannot be excluded. What is the most appropriate management?

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Correct answer: B — Discuss emergency contraception and quick-start options with follow-up pregnancy test

When pregnancy cannot be excluded after recent UPSI, emergency contraception should be considered and quick-start contraception may be offered with counselling, additional precautions and follow-up pregnancy testing. Saying testing is unnecessary is unsafe. Refusing contraception increases ongoing risk. If ulipristal is used, starting progestogen immediately can reduce EC efficacy, so timing and barrier advice matter.

Reference: FSRH Quick Starting Contraception; FSRH Emergency Contraception