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Smoking aged over 35 — DFSRH MCQ

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ModerateCombined hormonal contraceptionSmoking aged over 35DFSRH

A 36-year-old woman using no contraception requests a combined oral contraceptive. She smokes 8 cigarettes daily and has no other risk factors. What is the UKMEC category for CHC?

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Correct answer: E — UKMEC 3

Smoking under 15 cigarettes daily at age 35 or above is UKMEC 3 for CHC. Heavier smoking would be UKMEC 4. The route of CHC does not avoid the oestrogen-related risk.

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