A 35-year-old woman with well-controlled rheumatoid arthritis on hydroxychloroquine and methotrexate requests contraception. She asks about the most i...

Question

A 35-year-old woman with well-controlled rheumatoid arthritis on hydroxychloroquine and methotrexate requests contraception. She asks about the most important factor in her choice. What should be emphasised?

Accepted Answer

Methotrexate is a teratogen; highly effective contraception (LARC) is essential to prevent fetal exposure. Hydroxychloroquine is not an enzyme inducer and does not affect contraceptive efficacy

Answer

Any method is suitable; her medications are irrelevant

Answer

She must stop methotrexate before using any contraception

Answer

Only barrier methods are suitable

Answer

Hydroxychloroquine reduces CHC efficacy

uk-dfsrh MCQ (SBA): Methotrexate Teratogen LARC Essential

A 35-year-old woman with well-controlled rheumatoid arthritis on hydroxychloroquine and methotrexate requests contraception. She asks about the most important factor in her choice. What should be emphasised?