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Postpartum contraception — DRCOG MCQ

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ModeratePostnatal CarePostpartum contraceptionDRCOG

A 32-year-old woman who is fully breastfeeding attends 4 weeks after birth requesting contraception. She has no medical problems and wants a method she can start today. Her lochia has almost stopped. What would you advise?

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

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Correct answer: B — A desogestrel progestogen pill can be started now

A desogestrel progestogen pill can be started postpartum and is compatible with breastfeeding. Lactational amenorrhoea can be effective only under strict criteria and should not be assumed. Combined hormonal contraception is restricted in the early postpartum period because of VTE risk and breastfeeding considerations. The pearl is that postpartum contraception should be discussed before ovulation can return.

Reference: FSRH Guideline: Contraception After Pregnancy; UKMEC