skip to main content

Stopping POP over 50 — DFSRH MCQ

Instant feedback + full explanation. One question, done properly.

ModerateContraception in special circumstancesStopping POP over 50DFSRH

A 52-year-old woman using a desogestrel POP has amenorrhoea and wants to stop contraception. She has no vasomotor symptoms and her partner has not had a vasectomy. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: C — Check FSH twice at least 6 weeks apart and continue contraception if results are not menopausal-range

FSH testing can support stopping decisions in some women over 50 using progestogen-only contraception, with continued contraception until criteria are met. POP amenorrhoea does not prove menopause. CHC is generally not the routine switch at this age, UPA is not regular contraception, and biopsy is not indicated without abnormal bleeding or risk features. The pearl is that bleeding patterns on POP are unreliable for menopause diagnosis.

Reference: FSRH Guideline: Contraception for Women Aged Over 40 Years