This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Natural Methods, Barrier Methods, IUDs, OCPs, Subject name: Social & Preventive Medicine
[{'content': 'Contraceptive options for a 28-year-old woman who is breastfeeding a six-week-old baby, wanting to avoid pregnancy for a longer interval are the following except: \nSelect and explain. \nA. LNG-IUD, B. IUD- 380A, C. Implanon, D. Combined oral contraceptives', 'role': 'user'}, {'content': 'Answer: D \nExplanation: NOTE THAT THE QUESTION IS ASKING EXCEPT - Combined oral contraceptive pills are contraindicated up to six months postpaum, as they decrease breastmilk output. - Progesteron only pills / mini pills/ micro pills / intraceptive pills are contraceptive of choice in lactating women. - IUD can also be used . Absolute contraindications- Cancer(breast,cervix) Liver disease( adenoma) Uterine bleeding(excessive and undiagnosed) Thromboembolism Cardiovascular disease Hyperlipidemia Pregnancy nursing mother in first 6 months', 'role': 'assistant'}]