A woman using a COC develops a confirmed new diagnosis of inflammatory bowel disease (Crohn's affecting the ileum). She has active disease with signif...

Question

A woman using a COC develops a confirmed new diagnosis of inflammatory bowel disease (Crohn's affecting the ileum). She has active disease with significant diarrhoea and malabsorption. What contraceptive advice should she receive?

Accepted Answer

Active Crohn's disease with malabsorption may impair oral contraceptive absorption; she should switch to a non-oral method (implant, IUC, DMPA, or combined patch/ring)

Answer

Continue the COC; Crohn's has no effect on oral contraception

Answer

She should double her COC dose

Answer

Only barrier methods are suitable

Answer

Crohn's is UKMEC 4 for all contraception

uk-dfsrh MCQ (SBA): Active Crohn's Malabsorption Non-Oral Contraception

A woman using a COC develops a confirmed new diagnosis of inflammatory bowel disease (Crohn's affecting the ileum). She has active disease with significant diarrhoea and malabsorption. What contraceptive advice should she receive?