A woman with well-controlled psoriasis on methotrexate requests contraception. She asks whether the methotrexate affects her contraceptive options. Wh...

Question

A woman with well-controlled psoriasis on methotrexate requests contraception. She asks whether the methotrexate affects her contraceptive options. What is the key consideration?

Accepted Answer

Methotrexate is teratogenic; highly effective contraception is essential to prevent fetal exposure. Methotrexate is not an enzyme inducer, so all methods are pharmacologically effective, but LARC is preferred for efficacy

Answer

Methotrexate has no relevance to contraception

Answer

She must stop methotrexate before starting any contraception

Answer

Only barrier methods are suitable

Answer

Methotrexate is an enzyme inducer

uk-dfsrh MCQ (SBA): Methotrexate Psoriasis Teratogen LARC Preferred

A woman with well-controlled psoriasis on methotrexate requests contraception. She asks whether the methotrexate affects her contraceptive options. What is the key consideration?