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CHC and breast symptoms before prescribing — DFSRH MCQ

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EasyCombined hormonal contraceptionCHC and breast symptoms before prescribingDFSRH

A 22-year-old woman requests her first combined oral contraceptive pill. She has regular periods, no migraine, blood pressure 112/70 mmHg and BMI 23 kg/m2. She asks whether she needs a breast examination before the prescription. What would you advise this patient?

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

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Correct answer: B — Breast examination is not required before starting CHC

Routine breast examination is not required before initiating CHC in an asymptomatic woman. Pelvic examination, cervical screening and liver tests are not prerequisites for CHC unless there is a separate clinical indication. The key baseline checks are eligibility history, blood pressure and usually BMI documentation.

Reference: FSRH Guideline Combined Hormonal Contraception