Which method is a COMBINED (estrogen and progestin) contraception option?

• A. DMPA shot
• B. Oral contraceptives
• C. Progestin-only pills
• D. Nexplanon

Answer: (B)

This question tests recognizing which contraceptive methods include both estrogen and progestin versus those that contain only progestin. Only oral contraceptives in this list are formulated as a combination product containing both hormones. They use estrogen (usually ethinyl estradiol) plus a progestin to suppress ovulation and to modify cervical mucus and the endometrium for reliable contraception. The other options are progestin-only: the DMPA shot is an injectable progestin, progestin-only pills lack estrogen and require strict timing, and Nexplanon is a subdermal implant that releases progestin. So, the method that is a combined estrogen and progestin contraception option is the oral contraceptives.