skip to main content

Contraception-US MEC — DFSRH MCQ

Instant feedback + full explanation. One question, done properly.

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?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — 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