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UKMEC lupus antiphospholipid antibodies — DFSRH MCQ

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HardUKMECUKMEC lupus antiphospholipid antibodiesDFSRH

A 33-year-old with systemic lupus erythematosus has positive antiphospholipid antibodies and previous thrombocytopenia. She requests a combined oral contraceptive pill for cycle control. Blood pressure is 132/82 mmHg and urine protein is negative. What is the UKMEC category for CHC?

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Correct answer: A — UKMEC 4

SLE with positive antiphospholipid antibodies makes CHC an unacceptable thrombotic risk. Disease quiescence does not remove the antiphospholipid-related contraindication. Non-oestrogen options should be considered, taking account of thrombocytopenia and bleeding risks.

Reference: FSRH UKMEC; FSRH Combined Hormonal Contraception