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GTD contraception — DFSRH MCQ

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HardSpecial circumstancesGTD contraceptionDFSRH

A 27-year-old has molar pregnancy evacuated and is entering hCG surveillance. She wants contraception and previously used an LNG-IUD. She has falling hCG levels but surveillance is not complete. What is the most appropriate management?

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

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Correct answer: A — Use effective contraception and avoid pregnancy until monitoring is complete

After gestational trophoblastic disease, pregnancy should be avoided until surveillance is complete because pregnancy makes hCG monitoring difficult. Effective contraception is needed promptly. IUD timing requires caution around uterine evacuation and bleeding/infection status, so it is not the automatic immediate option.

Reference: FSRH Contraception After Pregnancy; RCOG GTD Guidance