Current breast cancer and hormones — DFSRH MCQ

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ModerateProgestogen-only contraceptionCurrent breast cancer and hormonesDFSRH

A 43-year-old woman undergoing treatment for oestrogen receptor-positive breast cancer asks for an implant. She wants reliable contraception. What is the UKMEC category for the implant?

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Correct answer: A — UKMEC 4

Current breast cancer is UKMEC 4 for hormonal contraception, including the implant. The copper IUD is usually the key non-hormonal option if suitable. Completion of one treatment phase does not by itself change current disease status.

Reference: FSRH Progestogen-only Pills Guideline; FSRH Progestogen-only Implant Guideline; FSRH Progestogen-only Injectable Guideline; UKMEC 2025; BNF