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Positive pregnancy test after abortion — DFSRH MCQ

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HardReproductive HealthPositive pregnancy test after abortionDFSRH

A 27-year-old woman has a positive pregnancy test 5 weeks after a medication abortion. She has mild spotting, no pain, and no fever. She has had UPSI since the abortion and did not start contraception. What is the most appropriate management?

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

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Correct answer: B — Assess for ongoing pregnancy, new pregnancy or retained products and refer according to local abortion pathway

A positive test weeks after abortion with new UPSI requires assessment for ongoing pregnancy, new pregnancy or retained products using local pathways. UPA does not treat retained products or established pregnancy. Pregnancy tests can remain positive for a time, but 5 weeks plus new UPSI needs evaluation rather than reassurance. The pearl is that post-abortion contraception should be offered immediately because fertility can return quickly.

Reference: NICE Guideline: Abortion Care; FSRH Guideline: Contraception After Pregnancy