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Postpartum contraception breastfeeding — USMLE Step 3 MCQ

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

A 24-year-old woman returns 3 weeks after vaginal delivery and is breastfeeding. She wants reliable contraception and does not want another pregnancy soon. She has no infection, hemorrhage, or thromboembolic history. Which of the following would you recommend at the follow-up visit?

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Reveal the answer and explanation

Correct answer: A — Offer a progestin-based or long-acting reversible contraceptive method

Postpartum contraception should be addressed early; progestin-only and LARC methods are appropriate during breastfeeding, while estrogen is avoided early postpartum in many patients.

Reference: ACOG postpartum contraception guidance: https://www.acog.org/