COCP Co-morbidities

Question 1

UKMEC recommendations

Answer 1

UKMEC 2: advantages generally outweigh the disadvantages

UKMEC 3: disadvantages generally outweigh the advantages

UKMEC 4: represents an unacceptable health risk

Question 2

Smoking (increased risk of CV disease)

Answer 2

2: age < 35 years
3: age > 35 years and smoking < 15 cigarettes / day
4: age > 35 and smoking > 15 cigarettes / day

Question 3

Obesity (increased risk of VTE)

Answer 3

2: BMI 30-34
3: BMI >= 35

Question 4

Migraine

Answer 4

4: migraine with aura
3: migraine without aura (continues prescribing):
2: migraine without aura (initial prescribing)

(progesterone only are all 2)

Question 5

Epilepsy

Answer 5

Phenytoin, carbamazepine, barbiturates, primidone, topiramate, oxcarbazepine -

3: COCP and POP
2: implant
1: Depo-Provera, IUD, IUS

Lamotrigine -

3: COCP
1: POP, implant, Depo-Provera, IUD, IUS
* If the COCP is chosen it should contain a minimum 30 micrograms of ethinylestradiol