A 30-year-old woman taking a CHC has a BMI of 35.5 kg/m². At her review, she is counselled that her BMI places her at UKMEC 3 for CHC. She has no othe...

Question

A 30-year-old woman taking a CHC has a BMI of 35.5 kg/m². At her review, she is counselled that her BMI places her at UKMEC 3 for CHC. She has no other risk factors. She understands the risks but wishes to continue. What should the clinician do?

Accepted Answer

UKMEC 3 requires expert clinical judgement; the clinician can continue to prescribe if, after informed discussion, the woman still wishes to use CHC and the decision is documented

Answer

Refuse to prescribe; UKMEC 3 is an absolute contraindication

Answer

Automatically switch her to a POP

Answer

Refer to a specialist before any further prescribing

Answer

Continue prescribing without discussion

uk-dfsrh MCQ (SBA): UKMEC 3 Informed Decision to Continue CHC

A 30-year-old woman taking a CHC has a BMI of 35.5 kg/m². At her review, she is counselled that her BMI places her at UKMEC 3 for CHC. She has no other risk factors. She understands the risks but wishes to continue. What should the clinician do?