QuestionSBA
QuestionChoice
This is incorrect. The Fraser guidelines are criteria that must be met for children under 16 to be advised on sexual health without breaking confidentiality. As this patient meets these criteria, a contraceptive may be prescribed despite her age.
10027658
c
Do not prescribe the pill as the patient is not of legal age
QuestionChoice
This is correct. According to the Fraser Guidelines, if the patient has the maturity and intelligence to understand the treatment, cannot be persuaded to tell their parents, is likely to begin sexual intercourse without contraception, or if their mental health is likely to suffer without the treatment it is in their best interests to provide this treatment.
10027656
a
Prescribe the contraceptive pill
QuestionChoice
This is incorrect. This would be inappropriate as the patient is 'Fraser competent' and can therefore receive advice and or treatment without breaking confidentiality.
10027657
b
Prescribe the contraceptive pill and tell the patient's parents
QuestionChoice
This is incorrect. The patient is unlikely to abstain and would be likely to come to harm if this advice is given.
10027660
e
Advise the patient to abstain from sexual intercourse until they are 16
QuestionChoice
This is incorrect. This would breach confidentiality as the patient is fraser competent.
10027659
d
Ask the patient's parents for consent to prescribe
Concept
Chapter
2693
5909
Fraser guidelines
Topic
153
Paediatrics
17929
A 15 year old female patient attends her GP practice as she would like some contraception advice. She requests the combined oral contraceptive pill, as she is thinking of having sexual intercourse with her boyfriend who is also 15. She appears to understand the importance of safe sex and understands how to take the combined contraceptive pill correctly.

She does not want her parents to know as they do not think they would understand. She also notes that if she were not prescribed the pill they would have sexual intercourse regardless, however would rather be safe.

Which of the following is the most appropriate management option?
a