Question

A 29-year-old woman, G0P0, smokes 15 cigarettes per day and has migraine with aura. She requests the combined oral contraceptive pill. What is the most appropriate advice regarding contraception?

Accepted Answer

Combined oral contraceptive is contraindicated; offer a progestogen-only method instead

Answer

Combined oral contraceptive is appropriate as long as she keeps the dose low

Answer

Advise stopping smoking and then start combined pill immediately

Answer

Advise that any hormonal method is contraindicated

Answer

Insert a copper IUD only; hormonal IUDs are contraindicated

Practice question

A 29-year-old woman, G0P0, smokes 15 cigarettes per day and has migraine with aura. She requests the combined oral contraceptive pill. What is the most appropriate advice regarding contraception?