A 33-year-old woman attends the GP requesting the combined oral contraceptive pill. She has a BMI of 27 kg/m², is a non-smoker, has a blood pressure o...

Question

A 33-year-old woman attends the GP requesting the combined oral contraceptive pill. She has a BMI of 27 kg/m², is a non-smoker, has a blood pressure of 122/78 mmHg, and has no medical history. She is also requesting a venous thrombophilia screen before starting, as her cousin was diagnosed with Factor V Leiden. Should the GP arrange thrombophilia testing?

Accepted Answer

No - FSRH does not recommend routine thrombophilia screening before starting combined hormonal contraception, even with a family history of thrombophilia

Answer

Yes - thrombophilia screening should be offered to all women before starting the COC

Answer

Yes - all women with a first-degree relative with Factor V Leiden should be tested

Answer

Only if she has a personal history of VTE

Answer

Yes - but only if she requests it

uk-drcog MCQ (SBA): Thrombophilia Screening Before CHC