A 36-year-old woman with endometriosis has been taking a continuous CHC regimen for symptom management. She develops breakthrough bleeding after 10 we...

Question

A 36-year-old woman with endometriosis has been taking a continuous CHC regimen for symptom management. She develops breakthrough bleeding after 10 weeks of continuous use. The bleeding has persisted for 4 days. What should she do according to FSRH tailored regimen guidance?

Accepted Answer

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

Answer

Continue taking active pills; the bleeding will always resolve

Answer

Take a 7-day hormone-free interval

Answer

Stop CHC permanently

Answer

Switch to a POP

uk-dfsrh MCQ (SBA): Tailored CHC 4-Day HFI for BTB

A 36-year-old woman with endometriosis has been taking a continuous CHC regimen for symptom management. She develops breakthrough bleeding after 10 weeks of continuous use. The bleeding has persisted for 4 days. What should she do according to FSRH tailored regimen guidance?