A 29-year-old woman with well-controlled coeliac disease on a strict gluten-free diet asks the GP whether she can use the combined oral contraceptive ...

Question

A 29-year-old woman with well-controlled coeliac disease on a strict gluten-free diet asks the GP whether she can use the combined oral contraceptive pill. She is concerned about malabsorption affecting efficacy. Which is the most accurate advice?

Accepted Answer

In well-controlled coeliac disease on a strict gluten-free diet, intestinal absorption is expected to be normal - the COC can be used without concern about reduced efficacy

Answer

The COC is contraindicated in coeliac disease

Answer

She should use double-dose COC

Answer

Only non-oral methods can be used

Answer

She must have annual anti-TTG levels before continuing the COC

uk-drcog MCQ (SBA): Controlled Coeliac Disease and COC Absorption

A 29-year-old woman with well-controlled coeliac disease on a strict gluten-free diet asks the GP whether she can use the combined oral contraceptive pill. She is concerned about malabsorption affecting efficacy. Which is the most accurate advice?