Contraception: perimenopausal women: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

OBG · Contraception: perimenopausal women

Sample item

A 52-year-old woman using a barrier method has had her last menstrual period 8 months ago. When can she stop contraception?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. After 12 months of amenorrhoea at her age

Women over 50 years can stop contraception after 12 consecutive months of amenorrhoea, and those under 50 are advised to continue for 24 months. A single FSH measurement is unreliable in the transition. Women on hormonal contraception need other methods of assessment, and contraception is usually stopped by 55 years regardless.

Option by option

  • A. After 3 months of amenorrhoea

    Three months is far too short.

  • B. After 12 months of amenorrhoea at her age (correct)

    Correct. Twelve months of amenorrhoea is required over age 50.

  • C. Immediately, since she is over 50

    Age alone does not remove the chance of ovulation.

  • D. Only after FSH is measured once

    A single FSH value is not a reliable guide.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, After 12 months of amenorrhoea at her age. Women over 50 years can stop contraception after 12 consecutive months of amenorrhoea, and those under 50 are advised to continue for 24 months.

Why is "After 3 months of amenorrhoea" not the answer?

Three months is far too short.

Why is "Immediately, since she is over 50" not the answer?

Age alone does not remove the chance of ovulation.

Why is "Only after FSH is measured once" not the answer?

A single FSH value is not a reliable guide.

What concept does this question test?

It tests Contraception: perimenopausal women in OBG. A single FSH measurement is unreliable in the transition. Women on hormonal contraception need other methods of assessment, and contraception is usually stopped by 55 years regardless.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Contraception: perimenopausal women?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.