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Hypertension and CHC — DFSRH MCQ

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EasyCombined hormonal contraceptionHypertension and CHCDFSRH

A 42-year-old woman requests a combined pill. Her repeat clinic blood pressure is 166/102 mmHg and she has not used contraception for six months. What is the UKMEC category for CHC?

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

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Correct answer: A — UKMEC 4

Systolic blood pressure at or above 160 mmHg or diastolic at or above 100 mmHg is UKMEC 4 for CHC. Controlled or less severe hypertension may be UKMEC 3 rather than 4. CHC should not be used while this blood pressure is present.

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