A 38-year-old woman smokes 20 cigarettes per day and has migraine with aura. She requests a combined oral contraceptive pill. What is the most appropr...

Question

A 38-year-old woman smokes 20 cigarettes per day and has migraine with aura. She requests a combined oral contraceptive pill. What is the most appropriate advice?

Accepted Answer

Combined pill is contraindicated; discuss progestogen-only or non-hormonal methods

Answer

Combined pill is suitable; prescribe standard ethinylestradiol/levonorgestrel

Answer

Combined pill is suitable if she takes aspirin

Answer

Combined pill is suitable if she restricts smoking to fewer than 10 cigarettes per day

Answer

No contraception is recommended in smokers

au-amc MCQ (SBA): Contraceptive counselling

A 38-year-old woman smokes 20 cigarettes per day and has migraine with aura. She requests a combined oral contraceptive pill. What is the most appropriate advice?