UKMEC and risk factors on contraception

Question 1

Contraindications for giving combined hormonal contraception e.g. pill, ring or patches

Answer 1

RF’s for VTE- obesity BMI>35, smoking >15 cigarettes a day, previous VTE, stroke, IHD, AF.
Do not give in migraine with aura, SLE, antiphospholipid syndrome, liver cirrhosis and tumours
Do not give after the age of 35.

Question 2

If the women is breastfeeding, when can you start combined hormonal contraception?

Answer 2

If breastfeeding- wait 6 weeks

If not breastfeeding- wait 3 weeks.

Question 3

When can you not give progesterone only contraception (pill, implant and depot)?

Answer 3

In current breast cancer or past breast cancer
Liver cirrhosis or tumours
Unexplained vaginal bleeding (can give pill in this)

Question 4

When would you not prescribe the IUD/IUS?

Answer 4

Current endometrial cancer, cervical cancer or uterine fibroids that distort the uterine cavity.
Cant give in pelvic inflammatory disease
Cant give in current chlamydia, gonorrhoea and TB.