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CHC and valvular heart disease — DFSRH MCQ

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ModerateUKMECCHC and valvular heart diseaseDFSRH

A 27-year-old woman with pulmonary hypertension related to congenital heart disease asks for a combined pill. She is stable under cardiology. What is the UKMEC category for CHC?

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Correct answer: C — UKMEC 4

Complicated cardiac disease such as pulmonary hypertension makes CHC UKMEC 4. Stability does not remove the risk from oestrogen-related thrombosis and haemodynamic stress. Pregnancy risk also needs specialist contraception planning.

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