A 45-year-old woman with a history of migraine with aura smokes one pack of cigarettes per day and seeks combined oral contraceptives. According to co...

Question

A 45-year-old woman with a history of migraine with aura smokes one pack of cigarettes per day and seeks combined oral contraceptives. According to contraceptive safety principles, what is the most appropriate advice?

Accepted Answer

Combined oral contraceptives are contraindicated; recommend a progestin-only or non-hormonal method

Answer

Combined oral contraceptives are safe without restrictions

Answer

Recommend high-dose oestrogen pills

Answer

Advise that smoking has no interaction with contraceptive risk

Answer

Recommend no contraception

ca-mccqe1 MCQ (SBA): Combined hormonal contraception contraindications

A 45-year-old woman with a history of migraine with aura smokes one pack of cigarettes per day and seeks combined oral contraceptives. According to contraceptive safety principles, what is the most appropriate advice?