Question

A 25-year-old woman requests combined oral contraception. She smokes 25 cigarettes per day and has a BMI of 35 kg per square metre. Blood pressure is 150/95 mmHg. She has no other medical problems. What is the most appropriate advice regarding contraception?

Accepted Answer

Avoid combined hormonal contraception and offer a progestogen-only method or intrauterine device

Answer

Combined oral contraceptive pill is suitable with no restrictions

Answer

Combined pill is safe if she reduces smoking to 10 per day

Answer

Combined pill is safe if she loses weight

Answer

Prescribe combined pill but add Aspirin for thrombosis prophylaxis

Practice question

A 25-year-old woman requests combined oral contraception. She smokes 25 cigarettes per day and has a BMI of 35 kg per square metre. Blood pressure is 150/95 mmHg. She has no other medical problems. What is the most appropriate advice regarding contraception?