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Contraception-US MEC — DFSRH MCQ

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ModerateObstetrics & GynecologyContraception-US MECDFSRH

A 35-year-old nulliparous patient seeks contraceptive advice. She has migraine without aura, BMI 31 kg/m², and no other risk factors. Which statement aligns with U.S. MEC?

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Correct answer: D — IUDs (copper or LNG) are Category 1

U.S. MEC rates copper and LNG IUDs as Category 1 for most women, including those with obesity and migraine without aura. Combined hormonal contraception is Category 2 for migraine without aura (but becomes Category 4 with aura). DMPA and POPs are acceptable options.

Reference: CDC (2024): U.S. Medical Eligibility Criteria for Contraceptive Use