POP and severe liver disease — DFSRH MCQ

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HardProgestogen-only contraceptionPOP and severe liver diseaseDFSRH

A 39-year-old woman with decompensated cirrhosis and ascites requests a desogestrel POP. She has no current partner but wants reliable contraception before discharge. What is the UKMEC category for POP?

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Correct answer: C — UKMEC 3

Severe cirrhosis raises concern for hormonal methods and POP may be UKMEC 3. CHC would carry greater risk, but progestogen-only methods still require careful judgement. Copper IUD may be considered if appropriate and safe.

Reference: FSRH Progestogen-only Pills Guideline; FSRH Progestogen-only Implant Guideline; FSRH Progestogen-only Injectable Guideline; UKMEC 2025; BNF