POP and migraine aura — DFSRH MCQ

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ModerateUKMECPOP and migraine auraDFSRH

A 34-year-old woman with migraine with aura requests a desogestrel POP after being told to stop CHC. What is the UKMEC category for POP?

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Correct answer: E — UKMEC 2

Migraine with aura is a major contraindication to CHC, but POP is generally much safer and is usually UKMEC 2. This contrast is frequently tested. New or changing neurological symptoms still require clinical review.

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