CHC and stroke history — DFSRH MCQ

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EasyUKMECCHC and stroke historyDFSRH

A 40-year-old woman with previous ischaemic stroke requests a combined pill for cycle control. She has no residual deficit. What is the UKMEC category for CHC?

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Correct answer: A — UKMEC 4

A history of stroke is UKMEC 4 for CHC. Remoteness and recovery do not remove the high arterial risk concern. Non-oestrogen methods should be considered.

Reference: UK Medical Eligibility Criteria for Contraceptive Use (UKMEC) 2025; FSRH Clinical Guidelines