UKMEC

Question 1

Migraine with aura (at any age)

Answer 1

UKMEC 4

Question 2

Migraines without aura in women aged >=35 years.

Answer 2

UKMEC 3

Question 3

Current breast cancer

Answer 3

UKMEC 4

Question 4

Past history of breast cancer and no evidence of recurrence for 5 years.

Answer 4

UKMEC 3

Question 5

Carriers of known gene mutations associated with breast cancer. (BRCA1)

Answer 5

UKMEC 3

Question 6

Undiagnosed breast lump

Answer 6

UKMEC 3

Question 7

Severe decompensated liver disease in a patient with cirrhosis

Answer 7

UKMEC 4

Question 8

Mild decompensated liver disease in a patient with cirrhosis

Answer 8

UKMEC 3

Question 9

Secondary raynaud’s disease with lupus anticoagulant

Answer 9

UKMEC 4

Question 10

Liver tumours

Answer 10

UKMEC 4

Question 11

Stroke

Answer 11

UKMEC 4

Question 12

Current and past history of ischaemic heart disease

Answer 12

UKMEC 4

Question 13

Major surgery with prolonged immobilisation

Answer 13

UKMEC 4

Question 14

VTE

Answer 14

UKMEC 4

Question 15

Smoking aged >=35 years and smoking >=15 cigarettes per day

Answer 15

UKMEC 4

Question 16

Obesity >= 40kg/m2

Answer 16

UKMEC 4

Question 17

Hypertension: SBP >=160 or DBP >= 95

Answer 17

UKMEC 4

Question 18

Hypertension: SBP >=140 or DBP >= 90

Answer 18

UKMEC 3

Question 19

Family history of VTE in first degree relative aged

Answer 19

UKMEC 3

Question 20

Familial Hypercholesterolaemia

Answer 20

UKMEC 3

Question 21

Immobility (Wheelchair use, debilitating illness)

Answer 21

UKMEC 3

Question 22

Current gallbladder disease

Answer 22

UKMEC 3

Question 23

Diabetes with complications or for >20 years duration.

Answer 23

UKMEC 3 or 4 (Depends on severity)

Question 24

Obesity- BMI 35-39kf/m2

Answer 24

UKMEC 3

Question 25

Smoking aged 35 years of over and smoking

Answer 25

UKMEC 3

Question 26

Ex-smoker of 1 year

Answer 26

UKMEC 3

Question 27

Menarche to

Answer 27

UKMEC 1

Question 28

Age of \>= 40 years

Answer 28

UKMEC 2

Question 29

Breastfeeding between 6 weeks to 6 months AND partially breastfeeding.

Answer 29

UKMEC 2

Question 30

Breastfeeding \> 6 months.

Answer 30

UKMEC 1

Question 31

Smoking - aged 35 years and stopped smoking more than 1 year ago.

Answer 31

UKMEC 2

Question 32

BMI \>=30-34 kg/m2

Answer 32

UKMEC 2

Question 33

Past ectopic pregnancy

Answer 33

UKMEC 1

Question 34

Non-migrainous headaches

Answer 34

UKMEC 1

Question 35

Endometriosis

Answer 35

UKMEC 1

Question 36

Severe dysmenorrhoea

Answer 36

UKMEC 1

Question 37

Benign ovarian tumour

Answer 37

UKMEC 1

Question 38

Vaginal bleeding - unsuspicious irregular, heavy or prolonged.

Answer 38

UKMEC 1

Question 39

Thyroid disorders

Answer 39

UKMEC 1

Question 40

Anaemias (iron deficiency & thalassaemia)

Answer 40

UKMEC 1

Question 41

HIV/AIDS (Not using Antiretrovirals)

Answer 41

UKMEC 1

Question 42

STI

Answer 42

UKMEC 1

Question 43

PID (Current or past)

Answer 43

UKMEC 1

Question 44

Endometrial or ovarian cancer

Answer 44

UKMEC 1

Question 45

Cervical ectropion

Answer 45

UKMEC 1

Question 46

Uterine fibroids

Answer 46

UKMEC 1

Question 47

Benign breast disease or family history of breast cancer

Answer 47

UKMEC 1

Question 48

Sickle Cell Disease

Answer 48

UKMEC 2

Question 49

HIV/AIDs (Using Antiretrovirals)

Answer 49

UKMEC 2

Question 50

Vaginal bleeding - suspicious for serious condition before evaluation

Answer 50

UKMEC 2

Question 51

CIN and cervical cancer

Answer 51

UKMEC 2

Question 52

Past Gallbladder disease

Answer 52

UKMEC 2

Question 53

Diabetes (NIDDM or IDDM) without complications

Answer 53

UKMEC 2

Question 54

IBD

Answer 54

UKMEC 2

Question 55

Secondary raynaud's disease without lupus anticoagulant

Answer 55

UKMEC 2

Question 56

Valvular or congenital heart disease

Answer 56

UKMEC 2

Question 57

Migraine headaches without aura in women aged

Answer 57

UKMEC 2

Question 58

Family history of VTE in first degree relative aged \>=45 years.

Answer 58

UKMEC 2

Question 59

Common hyperlipidaemia

Answer 59

UKMEC 2

Question 60

Major surgery without immobilisation

Answer 60

UKMEC 2

Question 61

History of obstetric cholestasis

Answer 61

UKMEC 2

Question 62

History of pregnancy related hypertension

Answer 62

UKMEC 2

Question 63

What should be discussed when consider starting COCP?

Answer 63

HISTORY * Age * Smoker * Cardiac history * VTE history, including relatives * Risk of pregnancy * Periods * Previous COC use * Previous pregnancy and breast feeding * Migraine (or CVA) * Gallbladder disease * Cholestasis * Breast cancer, cervical cancer * HIV * Enzyme inducing meds EXAM * Height * Weight * BP