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Combined hormonal contraception risk — DRCOG MCQ

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HardContraceptionCombined hormonal contraception riskDRCOG

A woman with migraine with aura asks to restart combined hormonal contraception. What is the most appropriate management?

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Correct answer: E — Avoid combined hormonal contraception and offer safer alternatives

Migraine with aura is UKMEC 4 for combined hormonal contraception because of stroke risk. Discuss progestogen-only or non-hormonal methods tailored to her preferences and other risk factors.

Reference: FSRH UKMEC: https://www.fsrh.org/Common/Uploaded%20files/Standards-and-Guidance/fsrh-ukmec-full-book-2019.pdf