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Migraine without aura — DFSRH MCQ

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ModerateCombined hormonal contraceptionMigraine without auraDFSRH

A 31-year-old woman asks for the vaginal ring. She has migraine without aura, no smoking history, normal blood pressure and no other vascular risk factors. What is the UKMEC category for this method?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — UKMEC 2

Migraine without aura is generally UKMEC 2 for CHC when there are no additional stroke risk factors. Migraine with aura would make CHC UKMEC 4, which is the common trap. The consultation should confirm absence of aura and reassess if symptoms change.

Reference: FSRH Combined Hormonal Contraception Guideline; UKMEC 2025; BNF