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CHC and family history VTE — DFSRH MCQ

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HardCombined hormonal contraceptionCHC and family history VTEDFSRH

A 19-year-old requests CHC. Her mother had a postoperative DVT at age 52 after hip replacement; the patient has no personal VTE history, normal blood pressure and BMI 22 kg/m². What is appropriate?

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Correct answer: A — CHC can be considered after routine individual eligibility assessment

The best answer is “CHC can be considered after routine individual eligibility assessment”. A single first-degree relative with a clearly provoked VTE after age 45 does not meet the UKMEC 3 family-history criterion by itself. Routine assessment should still explore the accuracy and breadth of family history and all personal risk factors. Universal thrombophilia testing, anticoagulation and mandatory specialist approval are not justified by this history.

Reference: CoSRH, UK Medical Eligibility Criteria for Contraceptive Use 2025: https://www.cosrh.org/Common/Uploaded%20files/documents/UKMEC_2025.pdf