A 35-year-old woman is planning to undergo a sleeve gastrectomy for obesity (BMI 42 kg/m²). She uses a COC. What contraceptive advice should be given ...

Question

A 35-year-old woman is planning to undergo a sleeve gastrectomy for obesity (BMI 42 kg/m²). She uses a COC. What contraceptive advice should be given preoperatively?

Accepted Answer

Stop CHC 4 weeks before the surgery due to VTE risk from oestrogen combined with major surgery and immobilisation; switch to a progestogen-only or non-hormonal method

Answer

Continue the COC throughout the surgical period

Answer

The COC dose should be halved perioperatively

Answer

Start prophylactic anticoagulation and continue the COC

Answer

No change is needed for sleeve gastrectomy

uk-dfsrh MCQ (SBA): Stop CHC Before Bariatric Surgery

A 35-year-old woman is planning to undergo a sleeve gastrectomy for obesity (BMI 42 kg/m²). She uses a COC. What contraceptive advice should be given preoperatively?