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Tailored CHC regimen — DFSRH MCQ

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EasyCombined hormonal contraceptionTailored CHC regimenDFSRH

A 25-year-old woman uses a combined pill and wants to avoid withdrawal bleeds during travel. She has no contraindications and takes pills reliably. What would you advise this patient?

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Correct answer: BShe may use an extended or continuous CHC regimen with counselling about unscheduled bleeding

Extended or continuous CHC regimens are acceptable for many users and can reduce scheduled bleeding, with counselling that unscheduled bleeding may occur. A 7-day break in every pack is not required for contraceptive efficacy. DMPA is not a short-term travel bleed-control method, UPA is EC, and stopping contraception increases pregnancy risk. The pearl is that tailored CHC use can improve acceptability and continuation.

Reference: FSRH Guideline: Combined Hormonal Contraception