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Drospirenone POP missed-pill advice — DFSRH MCQ

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ModerateProgestogen-only methodsDrospirenone POP missed-pill adviceDFSRH

A 29-year-old woman uses a drospirenone POP in a 24/4 regimen and forgets tablets while travelling. She is unsure whether the missed-pill advice is identical to desogestrel POP. What would you advise this patient?

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Correct answer: B — Use drospirenone-specific missed-pill guidance and assess EC

The best answer is “Use drospirenone-specific missed-pill guidance and assess EC”. Drospirenone POP has a 24/4 regimen and product-specific missed-pill instructions, so traditional 3-hour POP rules and CHC hormone-free-interval rules cannot be applied automatically. The timing and number of tablets missed determine whether contraceptive efficacy was maintained and whether emergency contraception should be considered. Stopping the pack or taking ulipristal after every missed pill is not appropriate routine management.

Reference: CoSRH/FSRH, Progestogen-only Pills (amended April 2026): https://www.cosrh.org/Public/Public/Documents/ceu-guideline-progestogen-only-pills.aspx