Moderate

Contraceptive action of combined pill is mainly due to_______________?

Correct answer: D. Inhibits ovulation

  • A. Decrease in tubal motility
  • B. Prevents the fertilization
  • C. Prevents the implantation of fertilized egg
  • D. Inhibits ovulation

Explanation

Combined oral contraceptives mainly suppress the hypothalamic-pituitary-ovarian axis, preventing the mid-cycle LH surge and therefore ovulation. Effects on cervical mucus and the endometrium provide additional protection but are not the primary mechanism.

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