Combined pill and UKMEC Case scenarios.

Assume no other risk factors unless stated.

1. 35 year old patient comes in for her pill check. On enquiry, she admits to
smoking 20 per day. She is happy on Microgynon 30. What do you do? P2.
2. 35 year old patient wishes to start COC. On taking a history you note that
she suffered from migraine with aura in her teens, but that these have
been settled for many years. Is she suitable for this method? P5.
3. A 24 year old non smoker is keen to try COC . Her BMI is 36. How would
you advise her? P2.
4. A 30 year old patient asks for COC. On taking a history you discover that
her mother had a DVT after a long haul flight at the age of 53. Are you
able to prescribe? P4
5. A 20 year old woman wants to start COC, however she is concerned that
her mother was diagnosed with breast cancer at the age of 52. Enquiry
reveals no other female members of the family affected by breast cancer.
Can you safely prescribe the combined pill in this case?