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Postpartum contraception — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Postpartum contraceptionUSMLE Step 3

A 26-year-old woman is 3 weeks postpartum and breastfeeding. She wants contraception and has migraine with aura. She has no infection or postpartum hemorrhage. Which of the following would you recommend at the follow-up visit?

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Correct answer: B — Use progestin contraception

Progestin contraception is compatible with breastfeeding and avoids estrogen-related thrombotic and migraine-with-aura concerns.

Reference: CDC U.S. Medical Eligibility Criteria for Contraceptive Use 2024