A 35-year-old woman who smokes 20 cigarettes per day requests the combined oral contraceptive pill. She has migraine with aura. According to UK medica...

Question

A 35-year-old woman who smokes 20 cigarettes per day requests the combined oral contraceptive pill. She has migraine with aura. According to UK medical eligibility criteria, what is the most appropriate response?

Accepted Answer

Advise that combined hormonal contraception is contraindicated and offer a progestogen-only method.

Answer

Prescribe a standard combined oral contraceptive pill.

Answer

Prescribe a combined pill with lower oestrogen dose.

Answer

Advise that smoking alone is not a problem and prescribe combined pill.

Answer

Prescribe no contraception because all hormonal methods are contraindicated.

uk-plab-1 MCQ (SBA): Combined oral contraceptive contraindications

A 35-year-old woman who smokes 20 cigarettes per day requests the combined oral contraceptive pill. She has migraine with aura. According to UK medical eligibility criteria, what is the most appropriate response?