A 35-year-old woman who smokes 15 cigarettes daily requests combined oral contraceptive pills. She has migraines without aura and normal blood

Question

A 35-year-old woman who smokes 15 cigarettes daily requests combined oral contraceptive pills. She has migraines without aura and normal blood pressure. She does not want an IUD. Which of the following would you advise this patient?

Accepted Answer

Advise a progestin method or nonhormonal method instead

Answer

Delay contraception until Pap testing is completed

Answer

Prescribe estrogen patch as safer than pills

Answer

Start combined pills without risk discussion

Answer

Recommend no contraception because she smokes

Combined hormonal contraception eligibility — ABFM Board MCQ

A 35-year-old woman who smokes 15 cigarettes daily requests combined oral contraceptive pills. She has migraines without aura and normal blood pressure. She does not want an IUD. Which of the following would you advise this patient?