Migraine without aura and CHC — DFSRH MCQ

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ModerateUKMECMigraine without aura and CHCDFSRH

A 34-year-old woman with migraine without aura asks for CHC. She has no hypertension, does not smoke, and her BMI is 24 kg/m2. She has had stable migraine since adolescence. What is the UKMEC category for CHC?

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Correct answer: E — UKMEC 2

Stable migraine without aura is generally UKMEC 2 for CHC, provided aura is excluded and no other major risk factors are present. UKMEC 4 applies to migraine with aura. UKMEC 3 may apply in higher-risk migraine scenarios, and differentiating patch from pill in this way is not the key classification. The pearl is to actively ask about aura before prescribing CHC.

Reference: UKMEC 2025; FSRH Guideline: Combined Hormonal Contraception