Question

A 38-year-old woman who smokes 20 cigarettes per day asks for the combined oral contraceptive pill. She has no other medical problems. According to UKMEC guidance, what is the most appropriate advice?

Accepted Answer

Combined pill is contraindicated; recommend a progestogen-only method

Answer

Combined pill is suitable without restriction

Answer

Combined pill is suitable if she takes a low-dose oestrogen preparation

Answer

Combined pill can be used if she reduces smoking to fewer than 10 cigarettes per day

Answer

Contraception is not required if she smokes heavily

Practice question

A 38-year-old woman who smokes 20 cigarettes per day asks for the combined oral contraceptive pill. She has no other medical problems. According to UKMEC guidance, what is the most appropriate advice?