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Missed progestogen-only pill — DRCOG MCQ

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ModerateContraceptionMissed progestogen-only pillDRCOG

A 27-year-old woman taking desogestrel 75 micrograms daily forgot yesterday's pill and is 15 hours late. She had sex this morning. She asks what to do. What would you advise?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Take the missed pill now and use condoms for 48 hours

For desogestrel POP, being more than 12 hours late is a missed pill; she should take a pill as soon as possible and use condoms for 48 hours. The 7-day rule applies to combined hormonal contraception, not standard POP missed-pill advice. Emergency contraception depends on timing and missed-pill circumstances rather than being automatic in every case. Taking multiple pills for a week is not advised.

Reference: FSRH Progestogen-only Pills; BNF