Contraception and obesity — DRCOG MCQ
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Correct answer: A — Discuss increased venous thromboembolism risk and alternative methods
Discuss increased venous thromboembolism risk and alternative methods is the best answer because the vignette is testing Contraception and obesity and the recommended approach is consistent with FSRH UKMEC. The other advice would give incomplete safety-netting, miss a contraindication, or use guidance intended for a different clinical setting. Specifically, Continue breastfeeding with latch support; Offer depot medroxyprogesterone acetate; Take folic acid and vitamin D as recommended; Offer combined hormonal contraception would be suboptimal in this scenario. Good advice includes both the guideline recommendation and clear safety-netting.
Reference: FSRH UKMEC