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CHC initiation for acne — DFSRH MCQ

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ModerateCombined hormonal contraceptionCHC initiation for acneDFSRH

A 20-year-old with acne requests a combined pill. She has no migraine, does not smoke, BMI 22 kg/m2, blood pressure 110/70 mmHg, and negative pregnancy test. What is the most appropriate management?

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

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Correct answer: B — Offer CHC after counselling about risks, benefits and missed-pill rules

CHC can be offered to an eligible patient after standard counselling and may also improve acne for some users. Acne is not a reason to decline contraception if she wants it and is eligible. DMPA is not first-choice acne treatment, copper IUD is not the sole method under 25, and CHC does not protect against STIs. The pearl is to combine contraceptive counselling with realistic non-contraceptive benefit discussion.

Reference: FSRH Guideline: Combined Hormonal Contraception