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Late depot medroxyprogesterone — DRCOG MCQ

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ModerateContraceptionLate depot medroxyprogesteroneDRCOG

A 34-year-old woman returns 15 weeks after her last depot medroxyprogesterone injection. She had unprotected sex 5 days ago and pregnancy cannot be excluded. She wants to continue injections. What is the most appropriate management?

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Correct answer: D — Assess need for emergency contraception and quick-start with follow-up pregnancy test if appropriate

Depot injections are usually repeated every 13 weeks, with a short grace period depending on formulation and guidance. At 15 weeks with UPSI, pregnancy risk and emergency contraception need assessment; quick-start may be possible with follow-up testing. Refusing contraception can increase risk if she continues sex. IUD insertion requires pregnancy exclusion and infection risk assessment.

Reference: FSRH Progestogen-only Injectable Contraception; FSRH Emergency Contraception