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UKMEC solid organ transplant — DFSRH MCQ

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HardUKMECUKMEC solid organ transplantDFSRH

A 35-year-old renal transplant recipient with stable graft function, eGFR 58 mL/min/1.73m2 and tacrolimus therapy requests an LNG-IUD. She is normotensive and has negative STI tests. What is the most appropriate contraceptive advice?

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Correct answer: B — LNG-IUD can be considered with usual infection precautions

In a stable solid organ transplant recipient, intrauterine contraception can generally be considered with appropriate infection risk assessment. Transplant status alone does not mandate sterilisation or exclude IUC. CHC may be limited by hypertension, vascular disease or drug interactions and is not preferred for graft protection.

Reference: FSRH UKMEC; FSRH Intrauterine Contraception