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Postpartum breastfeeding contraception — DFSRH MCQ

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HardProgestogen-only methodsPostpartum breastfeeding contraceptionDFSRH

A patient is 8 weeks postpartum, exclusively breastfeeding and prefers a method she can discontinue herself if bleeding is troublesome. She declines an IUD and implant. Which option best fits?

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

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Correct answer: B — Desogestrel POP with breastfeeding review and support

A desogestrel POP is suitable during breastfeeding and can be stopped without a removal procedure. DMPA and Cu-IUD can be appropriate for some users, but do not best match this stated preference.

Reference: FSRH, Progestogen-only Pills guideline (amended April 2026): https://www.cosrh.org/Common/Uploaded%20files/documents/fsrh-ceu-clinical-guideline-progestogen-only-pills-aug22-amended-11july-2023-.pdf