QuestionSBA
QuestionChoice
This is a situation where the advantages generally outweigh the risks of prescribing a combined oral contraceptive pill. Since combined oral contraceptive pills increase cardiovascular risks, it is safe to be prescribed to diabetic patients without vascular disease, for safe contraception and even reduced risk of ovarian and endometrial cancers.
10025413
d
Type 2 diabetes mellitus, no vascular disease
QuestionChoice
This is a situation whereby the risks may outweigh the advantages of prescribing a combined oral contraceptive pill. However, it is not considered an 'unacceptable' health risk. Combined oral contraceptive pills can also increase the risk of cardiovascular events, such as venous thromboembolism and stroke. Consistent hypertension (systolic ≥160 mmHg or diastolic ≥100 mmHg) is an unacceptable health risk to using combined oral contraceptive pills, but if blood pressure is controlled their use is permissible.
10025411
b
Hypertension controlled with antihypertensive medication
QuestionChoice
This is a situation where the advantages generally outweigh the risks of prescribing a combined oral contraceptive pill. Irregular bleeding is common in the first few months of oral contraceptive use, but a change in preparation or method should be considered if it persists and is troublesome for the patient.
10025414
e
Unexplained vaginal bleeding
QuestionChoice
This is the correct answer. If an individual with a history of VTE were to use combined oral contraceptive pills, there is a greater likelihood of experiencing recurrent VTE events, which can be life-threatening. Oestrogen-containing contraceptives induce a procoagulant state, increasing the likelihood of blood clot formation.
10025410
a
Previous venous thromboembolism (VTE)
QuestionChoice
This is a situation whereby proven risks usually outweigh the advantages of prescribing a combined oral contraceptive pill. However, it is not considered an 'unacceptable' health risk. Current breast cancer is an unacceptable health risk to using combined oral contraceptive pills, as the oestrogen they contain can promote cell growth in breast tissue.
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c
Past breast cancer
Concept
Chapter
2693
5839
Contraindications to the oral contraceptive pill
Topic
176
Gynaecology
17480
A 31 year old woman consults her GP regarding contraception. She would like to try the combined oral contraceptive pill.

Which of the following medical condition represents an unacceptable health risk for the use of the combined oral contraceptive pills, according to the UK Medical Eligibility Criteria?
a