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Post-abortion contraception — DFSRH MCQ

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EasyReproductive HealthPost-abortion contraceptionDFSRH

A 32-year-old woman presents 6 weeks after surgical termination of pregnancy and wants contraception. She has had no sex since the procedure, pregnancy test is negative, and she is leaning towards an implant. What is the most appropriate management?

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

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Correct answer: E — Insert the implant today after counselling

The best answer is “Insert the implant today after counselling”. When pregnancy can be reasonably excluded and there has been no unprotected sex since abortion, an implant can be started at the visit. Delaying until the next period is unnecessary and risks a gap in contraception; fertility can return quickly after abortion. Emergency contraception is not needed for a person with no post-procedure intercourse, but method counselling and any required additional-precaution advice should be given.

Reference: NICE NG140, Abortion care: https://www.nice.org.uk/guidance/ng140