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CHC and hepatic adenoma — DFSRH MCQ

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HardCombined hormonal contraceptionCHC and hepatic adenomaDFSRH

A 35-year-old woman with a previous hepatic adenoma treated conservatively asks for the combined vaginal ring. Liver function tests are currently normal. What is the UKMEC category for CHC?

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Correct answer: C — UKMEC 4

Hepatic adenoma is a contraindication to CHC because oestrogen exposure can promote growth or complications. Normal liver function tests do not make CHC safe. This is an important uncommon but high-stakes UKMEC discriminator.

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