A 24-year-old woman uses a tailored extended regimen COC. She has been taking active pills continuously for 9 weeks and develops breakthrough bleeding...

Question

A 24-year-old woman uses a tailored extended regimen COC. She has been taking active pills continuously for 9 weeks and develops breakthrough bleeding. What is the recommended management according to FSRH guidance?

Accepted Answer

Take a 4-day hormone-free interval, then restart active pills

Answer

Stop the COC permanently

Answer

Take a 7-day hormone-free interval, then restart active pills

Answer

Continue taking active pills; breakthrough bleeding always resolves

Answer

Switch to a different COC brand immediately

uk-dfsrh MCQ (SBA): CHC Tailored Regimen Breakthrough Bleeding

A 24-year-old woman uses a tailored extended regimen COC. She has been taking active pills continuously for 9 weeks and develops breakthrough bleeding. What is the recommended management according to FSRH guidance?