A 39-year-old woman who smokes 20 cigarettes per day requests the combined oral contraceptive pill. She has no other medical problems. What is the mos...

Question

A 39-year-old woman who smokes 20 cigarettes per day requests the combined oral contraceptive pill. She has no other medical problems. What is the most appropriate advice?

Accepted Answer

Combined hormonal contraception is contraindicated; offer a progestogen-only method

Answer

It is safe to prescribe combined pills without restriction

Answer

Advise nicotine replacement but prescribe combined pills now

Answer

Offer no contraception until she stops smoking completely

Answer

Recommend intrauterine device only because pills are ineffective in smokers

uk-plab-1 MCQ (SBA): Contraception in smokers over 35

A 39-year-old woman who smokes 20 cigarettes per day requests the combined oral contraceptive pill. She has no other medical problems. What is the most appropriate advice?