A 31-year-old woman with rheumatoid arthritis taking methotrexate requests contraception. Methotrexate is a known teratogen. What is the most importan...

Question

A 31-year-old woman with rheumatoid arthritis taking methotrexate requests contraception. Methotrexate is a known teratogen. What is the most important principle guiding contraceptive choice?

Accepted Answer

Highly effective contraception (LARC - IUC or implant) is essential to prevent fetal exposure to methotrexate

Answer

Any method is suitable as methotrexate does not interact with contraception

Answer

Only barrier methods should be used with methotrexate

Answer

She should stop methotrexate before starting contraception

Answer

Emergency contraception should be provided at every visit

uk-dfsrh MCQ (SBA): Teratogenic Drug LARC Recommendation

A 31-year-old woman with rheumatoid arthritis taking methotrexate requests contraception. Methotrexate is a known teratogen. What is the most important principle guiding contraceptive choice?