AUB means there is hyperestrogenic state … deficiency of progesteron to control bleeding …if wu give estrogen it will aggravate the situation
Desogestrel is a third generation progesterone not an Estrogen
M/c side effect of POP is bleeding.
And undiagnosed vaginal bleeding being one of the contraindications of POP .So option C is the answer since it has no effect on carbohydrate metabolism.
Desogestrel is contraindicated in undiagnosed PV bleed. Thank you