DMPA after VTE — DFSRH MCQ

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

HardProgestogen-only methodsDMPA after VTEDFSRH

A 36-year-old woman with a previous unprovoked DVT asks to restart DMPA. She is no longer anticoagulated, has BMI 33 kg/m2, and wants amenorrhoea. What is the UKMEC category for DMPA initiation?

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

Reveal the answer and explanation

Correct answer: E — UKMEC 3

Current UKMEC increased caution for DMPA in those with a history of VTE, making initiation generally UKMEC 3. UKMEC 4 would be more typical for CHC after VTE, not necessarily DMPA. Subcutaneous and intramuscular DMPA are treated with the same categories. The pearl is that progestogen-only methods are not interchangeable for VTE risk; DMPA is often the outlier.

Reference: UKMEC 2025; FSRH Guideline: Progestogen-only Injectable Contraception