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CHC age over 50 — DFSRH MCQ

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HardSpecial circumstancesCHC age over 50DFSRH

A 51-year-old has used a low-dose combined pill for cycle control. She is normotensive, BMI 24 kg/m2 and does not smoke, but now asks about continuing it to manage hot flushes. What is the most appropriate advice?

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Correct answer: D — Stop CHC and switch to safer contraception if needed

FSRH advises CHC users to switch to another contraceptive method at age 50 because age-related vascular risks increase and menopause assessment is masked. HRT can be considered separately but should not simply be added to CHC. DMPA is not first-line for vasomotor symptoms and has age-related bone considerations.

Reference: FSRH Guideline Contraception for Women Aged Over 40 Years