CHC and gallbladder disease — DFSRH MCQ

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ModerateCombined hormonal contraceptionCHC and gallbladder diseaseDFSRH

A 37-year-old woman with symptomatic gallstones awaiting surgical review requests the combined pill. She has no other medical history. What is the UKMEC category for CHC?

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Correct answer: D — UKMEC 3

Symptomatic gallbladder disease generally makes CHC UKMEC 3. The oestrogen component can influence biliary disease, so this is not category 1. This is a typical nuance where progestogen-only or IUC may be preferable.

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