Among the following reversible contraceptive methods, the LONGEST average delay in return of fertility after discontinuation occurs with:

• A Depot medroxyprogesterone acetate injection ✓
• B Combined oral contraceptive pill
• C Levonorgestrel-releasing intrauterine system
• D Etonogestrel subdermal implant

Explanation

Depot medroxyprogesterone acetate suppresses gonadotropin secretion for months after the last injection; median time to conception is around 9 to 10 months, and some users take longer than a year. Pills, implants, and intrauterine systems allow return of ovulation within weeks of removal, often within one to three cycles. This prolonged delay, along with its reversible reduction in bone mineral density, is a standard counseling point examined repeatedly.

Reference: Contraceptive Technology, 21st ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.