CHC with breast cancer — DFSRH MCQ

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HardCombined hormonal contraceptionCHC with breast cancerDFSRH

A 44-year-old woman treated for breast cancer 18 months ago asks for a combined pill for contraception and cycle control. She is currently disease-free on follow-up. What is the UKMEC category for CHC?

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Correct answer: B — UKMEC 3

Past breast cancer with no evidence of disease for at least five years is not the same as recent disease. Recent previous breast cancer is generally UKMEC 3 for hormonal contraception, while current breast cancer is UKMEC 4. Copper IUD is often the safer contraceptive option.

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