A 32-year-old woman with a renal transplant on ciclosporin and mycophenolate mofetil requests contraception. Mycophenolate is a known teratogen. Ciclo...

Question

A 32-year-old woman with a renal transplant on ciclosporin and mycophenolate mofetil requests contraception. Mycophenolate is a known teratogen. Ciclosporin is not an enzyme inducer. Which contraceptive principle is most important?

Accepted Answer

Highly effective contraception (LARC) is essential because mycophenolate is teratogenic; the etonogestrel implant, Cu-IUD, or LNG-IUS are recommended

Answer

Any method is suitable

Answer

Only barrier methods can be used with immunosuppressants

Answer

She must stop mycophenolate before using contraception

Answer

CHC is the only suitable option

uk-dfsrh MCQ (SBA): Renal Transplant Mycophenolate Teratogen LARC

A 32-year-old woman with a renal transplant on ciclosporin and mycophenolate mofetil requests contraception. Mycophenolate is a known teratogen. Ciclosporin is not an enzyme inducer. Which contraceptive principle is most important?