A 33-year-old woman has just undergone medical management of an ectopic pregnancy (single-dose intramuscular methotrexate). She asks about starting co...

Question

A 33-year-old woman has just undergone medical management of an ectopic pregnancy (single-dose intramuscular methotrexate). She asks about starting contraception. When can hormonal contraception be started?

Accepted Answer

Hormonal contraception can be started immediately (on the day of or day after methotrexate), with additional precautions if started after 5 days

Answer

It must be deferred for 3 months due to methotrexate

Answer

She must wait until hCG is undetectable

Answer

Only barrier methods are safe after methotrexate

Answer

She must wait for her next menstrual period

uk-dfsrh MCQ (SBA): Hormonal Contraception After Methotrexate Ectopic

A 33-year-old woman has just undergone medical management of an ectopic pregnancy (single-dose intramuscular methotrexate). She asks about starting contraception. When can hormonal contraception be started?