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UKMEC liver tumour CHC — DFSRH MCQ

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HardUKMECUKMEC liver tumour CHCDFSRH

A 39-year-old with a hepatic adenoma found during investigation of right upper quadrant pain asks to continue her combined pill. Liver function tests are normal and she has no viral hepatitis. What is the UKMEC category for CHC?

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Correct answer: E — UKMEC 4

Hepatic adenoma is a contraindication to CHC because oestrogen exposure can promote growth and complications. Normal liver enzymes do not make CHC safe in this condition. Non-oestrogen and non-hormonal methods should be discussed with specialist input as needed.

Reference: FSRH UKMEC; FSRH Combined Hormonal Contraception