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No EC indicated LAM — DFSRH MCQ

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ModerateEmergency contraceptionNo EC indicated LAMDFSRH

A 26-year-old is 10 weeks postpartum, fully breastfeeding day and night, amenorrhoeic, and had condomless sex yesterday. She wants EC but also wants to continue breastfeeding. What is the most appropriate management?

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

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Correct answer: C — Explain EC is not required if LAM criteria are fully met

Lactational amenorrhoea is highly effective when fully breastfeeding, amenorrhoeic and less than 6 months postpartum, so EC is not required if criteria are fully met. Ongoing contraception should still be discussed for when criteria no longer apply. CHC is not an EC method and is not appropriate this early postpartum.

Reference: FSRH Guideline Emergency Contraception; FSRH Contraception After Pregnancy