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UKMEC migraine aura CHC — DFSRH MCQ

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ModerateUKMECUKMEC migraine aura CHCDFSRH

A 29-year-old with migraine with aura asks whether the combined patch is safer than the combined pill. She has BMI 22 kg/m2, blood pressure 110/70 mmHg and no smoking history. What is the UKMEC category for the patch?

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Correct answer: D — UKMEC 4

Combined patch, ring and pill share CHC eligibility categories. Migraine with aura is UKMEC 4 for CHC because of stroke risk, regardless of aura frequency. Progestogen-only and intrauterine methods should be discussed.

Reference: FSRH UKMEC; FSRH Combined Hormonal Contraception