SLE and antiphospholipid antibodies — DFSRH MCQ

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HardCombined hormonal contraceptionSLE and antiphospholipid antibodiesDFSRH

A 29-year-old woman with systemic lupus erythematosus asks for the combined patch. Her records show positive antiphospholipid antibodies but no prior thrombosis. What is the UKMEC category for CHC?

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Correct answer: A — UKMEC 4

Positive antiphospholipid antibodies confer high thrombotic risk, making CHC UKMEC 4. Stable lupus activity does not remove the contraindication. Consider copper or suitable progestogen-only methods depending on the wider history.

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