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Depot contraception in adolescence — DRCOG MCQ

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ModerateContraception and Sexual HealthDepot contraception in adolescenceDRCOG

A 17-year-old requests depot medroxyprogesterone acetate. She has heavy periods and struggles to remember pills. She has no eating disorder, fracture history or long-term steroid use. What would you advise?

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Correct answer: CDiscuss benefits, bleeding changes and bone mineral density considerations

Depot medroxyprogesterone can be used in adolescents after counselling about benefits, altered bleeding, weight change and bone mineral density considerations. Age under 18 is not an automatic contraindication. Parental consent is not required if she has capacity and Fraser competence where relevant. The pearl is that counselling should support informed choice rather than create arbitrary age barriers.

Reference: FSRH Progestogen-only Injectable Contraception guideline; UKMEC