A 38-year-old woman using the combined vaginal ring is also taking tamoxifen for breast cancer chemoprevention (she has a strong family history but no...

Question

A 38-year-old woman using the combined vaginal ring is also taking tamoxifen for breast cancer chemoprevention (she has a strong family history but no personal cancer). What is the UKMEC implication?

Accepted Answer

Tamoxifen use is considered UKMEC 4 for CHC; she should be switched to a non-hormonal method or progestogen-only method after discussion with her oncologist

Answer

Tamoxifen has no UKMEC implications for CHC

Answer

Tamoxifen is an enzyme inducer; use condoms additionally

Answer

CHC enhances tamoxifen efficacy

Answer

Only the POP can be used with tamoxifen

uk-dfsrh MCQ (SBA): Tamoxifen Chemoprevention UKMEC 4 CHC

A 38-year-old woman using the combined vaginal ring is also taking tamoxifen for breast cancer chemoprevention (she has a strong family history but no personal cancer). What is the UKMEC implication?