A 33-year-old woman takes the combined pill and develops persistently elevated blood pressure readings of 148/94 mmHg over three visits. She refuses t...

Question

A 33-year-old woman takes the combined pill and develops persistently elevated blood pressure readings of 148/94 mmHg over three visits. She refuses to stop CHC. What should the clinician do?

Accepted Answer

Document that the woman has been informed of the risks (UKMEC 3 at 140-159/90-99), that CHC is not recommended, and that she has been offered alternatives. If she continues to decline to stop despite advice, the clinician must use their professional judgement about whether to continue prescribing

Answer

Continue prescribing as she is making an informed choice

Answer

Refuse to see her again

Answer

Refer her to a specialist hypertension clinic before any contraception decision

Answer

Increase the Ethinylestradiol dose to compensate

uk-dfsrh MCQ (SBA): Patient Refuses to Stop CHC at UKMEC 3 BP

A 33-year-old woman takes the combined pill and develops persistently elevated blood pressure readings of 148/94 mmHg over three visits. She refuses to stop CHC. What should the clinician do?