skip to main content

Severe hypertension and CHC — DFSRH MCQ

Instant feedback + full explanation. One question, done properly.

HardCombined hormonal contraceptionSevere hypertension and CHCDFSRH

A 35-year-old woman using the combined vaginal ring has systolic blood pressure readings of 162, 166 and 164 mmHg at separate visits. She has no symptoms and asks for another prescription. What is the UKMEC category for combined hormonal contraception?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — UKMEC 4

Sustained systolic blood pressure at or above 160 mmHg makes CHC UKMEC 4. UKMEC 3 applies to less severe hypertension in many contexts, but the repeated readings here cross the more serious threshold. Continuous ring use does not remove arterial risk, and UKMEC 1 or 2 would be unsafe. The pearl is to confirm blood pressure and avoid issuing repeat CHC when severe hypertension is documented.

Reference: UKMEC 2025; FSRH Guideline: Combined Hormonal Contraception