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Perimenopause stopping contraception — DFSRH MCQ

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ModerateSpecial circumstancesPerimenopause stopping contraceptionDFSRH

A 54-year-old using condoms has had no period for 14 months and asks when contraception can stop. She takes no hormones and has no menopausal symptoms requiring treatment. What would you advise this patient?

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

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Correct answer: A — Continue contraception until age 55 or use menopause criteria carefully

Spontaneous amenorrhoea after age 50 can support stopping after an appropriate interval, but age 55 is the point when contraception can generally be stopped regardless of bleeding. The answer should account for age and hormone use. CHC is not started at 54 for this purpose.

Reference: FSRH Guideline Contraception for Women Aged Over 40 Years