A 26-year-old woman with inflammatory bowel disease (Crohn's disease) has a flare with significant diarrhoea. She is currently using the combined oral...

Question

A 26-year-old woman with inflammatory bowel disease (Crohn's disease) has a flare with significant diarrhoea. She is currently using the combined oral contraceptive. What advice should she receive regarding her COC?

Accepted Answer

If she has severe diarrhoea, the missed pill rules for vomiting/diarrhoea should be applied; she should consider a non-oral method

Answer

Continue the COC; diarrhoea does not affect absorption

Answer

Switch to the combined vaginal ring only during the flare

Answer

Double her COC dose during the flare

Answer

Take the COC rectally

uk-dfsrh MCQ (SBA): COC Absorption Crohn's Flare Diarrhoea

A 26-year-old woman with inflammatory bowel disease (Crohn's disease) has a flare with significant diarrhoea. She is currently using the combined oral contraceptive. What advice should she receive regarding her COC?