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Contraception after childbirth — DRCOG MCQ

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A 30-year-old breastfeeding woman is 3 weeks postpartum and wants contraception. She has no contraindications to progestogen and has not resumed sex. She asks about safe options. What would you advise?

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Correct answer: D — A progestogen implant, injection or POP can be started now

Progestogen-only methods can be started immediately postpartum and are compatible with breastfeeding. Combined hormonal contraception is restricted early postpartum because of VTE risk and breastfeeding considerations. Ovulation can precede the first period, so waiting for menses is unsafe. Copper IUD can be used postpartum according to timing and eligibility guidance.

Reference: FSRH Contraception After Pregnancy