Diabetes with complications — DFSRH MCQ

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ModerateUKMECDiabetes with complicationsDFSRH

A 39-year-old woman with type 1 diabetes for 24 years and background retinopathy asks for a combined pill. What is the UKMEC category for CHC?

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Correct answer: E — UKMEC 3

Diabetes with vascular disease or long duration increases CHC risk and is generally UKMEC 3 or 4 depending on severity. Background retinopathy makes this more than uncomplicated diabetes. Glycaemic control does not erase vascular risk.

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