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POP and prior VTE — DFSRH MCQ

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ModerateProgestogen-only methodsPOP and prior VTEDFSRH

A 34-year-old woman had a pulmonary embolism 2 years ago after a long-haul flight and is no longer anticoagulated. She wants oral contraception and has migraine with aura. Blood pressure is 118/76 mmHg. What is the most appropriate contraceptive method?

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

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Correct answer: D — Desogestrel POP

POP use is not associated with the same VTE risk as CHC and is generally suitable in someone with prior VTE and migraine with aura. CHC methods are inappropriate because both migraine with aura and VTE history increase risk. Non-hormonal options can be discussed, but oral progestogen-only contraception is a reasonable answer.

Reference: FSRH UKMEC; FSRH Guideline Progestogen-only Pills