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DMPA and bone health adolescent — DFSRH MCQ

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ModerateProgestogen-only methodsDMPA and bone health adolescentDFSRH

A 16-year-old with heavy painful periods asks for DMPA after trying tablets inconsistently. She has BMI 19 kg/m2, no fracture history and no safeguarding concerns. What would you advise this patient?

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

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Correct answer: C — DMPA can be used after discussing bone density and alternatives

DMPA can be used in those under 18 after careful counselling, including the small reversible loss of bone mineral density and alternative methods. Routine DEXA is not required in otherwise low-risk adolescents. Combining CHC to protect bone adds oestrogen exposure and is not standard.

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