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Pregnancy test before contraception — DFSRH MCQ

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ModerateReproductive healthPregnancy test before contraceptionDFSRH

A 20-year-old requests a POP. Her last period was 5 weeks ago, cycles are irregular and she had UPSI 10 days ago. Urine pregnancy test is negative today. What is the most appropriate management?

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

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Correct answer: C — Quick start POP with EC assessment, condoms and repeat pregnancy test

A negative urine pregnancy test 10 days after UPSI does not exclude pregnancy, but contraception can often be quick started with counselling, EC assessment, precautions and repeat testing. Delaying contraception may increase risk. CHC may be inappropriate without proper eligibility assessment and does not address recent UPSI.

Reference: FSRH Quick Starting Contraception; FSRH Emergency Contraception