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DMPA and return to fertility — DFSRH MCQ

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EasyProgestogen-only methodsDMPA and return to fertilityDFSRH

A 29-year-old using DMPA for 2 years plans pregnancy next year and asks when fertility returns after stopping. She has regular injections and no other medical problems. What would you advise this patient?

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

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Correct answer: E — Return of fertility may be delayed for up to 1 year

DMPA is associated with a delay in return to fertility, which can be up to about 1 year. This is a delay, not permanent infertility. POP, implant and intrauterine methods have more rapid return of fertility after discontinuation.

Reference: FSRH Guideline Progestogen-only Injectable Contraception; FSRH Young People Guidance