Personal VTE history — DFSRH MCQ

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EasyCombined hormonal contraceptionPersonal VTE historyDFSRH

A 34-year-old woman who had a pulmonary embolism after knee surgery asks for the combined vaginal ring. She is not anticoagulated now. What is the UKMEC category for CHC?

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Correct answer: C — UKMEC 4

A personal history of VTE makes CHC UKMEC 4 in this context. A provoked event still matters because CHC adds oestrogen-related thrombosis risk. Progestogen-only and intrauterine methods are usual alternatives.

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