UKMEC

Question 1

What is the UKMEC category for CHC with a current or past history of VTE?

Answer 1

4

Question 2

What is the UKMEC category for CHC with a known thrombophilia (e.g. Factor V Leiden)?

Answer 2

4

Question 3

What is the UKMEC category for CHC with a family history (first degree) of VTE <45?

Answer 3

3

Question 4

What is the UKMEC category for CHC with history of IHD/Stroke/TIA/vascular disease?

Answer 4

4

Question 5

What is the UKMEC category for CHC with a history of complicated valvular heart disease?

Answer 5

4

Question 6

What is the UKMEC category for CHC with migraine with aura?

Answer 6

4

Question 7

What is the UKMEC category for CHC with migraine without aura?

Answer 7

2
(3 if start whilst taking)

Question 8

What is the UKMEC category for CHC if BP >160/100?

Answer 8

4

Question 9

What is the UKMEC category for CHC if BP 140-159/90-99?

Answer 9

3

Question 10

What is the UKMEC category for CHC with well controlled hypertension?

Answer 10

3

Question 11

What is the UKMEC category for CHC with diabetes without complications?

Answer 11

2

Question 12

What is the UKMEC category for CHC with diabetes with vascular disease?

Answer 12

3

Question 13

What is the UKMEC category for CHC when somking <35 years old?

Answer 13

2

Question 14

What is the UKMEC category for CHC when smoking >35 years old?

Answer 14

• 3 if <15 cigarttes per day
• 4 if >15 cigarettes per day

Question 15

What is the UKMEC category for CHC if BMI ≥35?

Answer 15

3

Question 16

What is the UKMEC category for depot if BMI ≥35?

Answer 16

2

Question 17

What is the UKMEC category for CHC with current breast cancer?

Answer 17

4

Question 18

What is the UKMEC category for POP with current breast cancer?

Answer 18

4

Question 19

What is the UKMEC category for LNG-IUS with current breast cancer?

Answer 19

4

Question 20

What is the UKMEC category for progestogen implant with current breast cancer?

Answer 20

4

Question 21

What is the UKMEC category for depo with current breast cancer?

Answer 21

4

Question 22

What is the UKMEC category for all hormonal contraceptives with current breast cancer?

Answer 22

4

Question 23

What is the UKMEC category for all hormonal contraceptives with treated breast cancer?

Answer 23

3

Question 24

What is the UKMEC category for Cu-IUD with previous or current breast cancer?

Answer 24

1

Question 25

What is the UKMEC category for CHC with BRCA1/BRCA2 mutations?

Answer 25

3

Question 26

What is the UKMEC category for CHC with family history of breast cancer?

Answer 26

1

Question 27

What is the UKMEC category for CHC with severe (decompensated) liver disease?

Answer 27

4

Question 28

What is the UKMEC category for CHC with current symptomatic gallbladder disease?

Answer 28

3

Question 29

What is the UKMEC category for CHC when breastfeeding?

Answer 29

* 0-6 weeks = 4 * >6 weeks = 2 * >6 months = 1

Question 30

What is the UKMEC category for CHC postpartum (when not breastfeeding and no VTE risk factors)?

Answer 30

* < 3 weeks = 3 * 3 - 6 weeks = 2 * > 6 weeks = 1

Question 31

What is the UKMEC category for POP and implant when breastfeeding?

Answer 31

1

Question 32

What is the UKMEC category for POP and implant postpartum?

Answer 32

1

Question 33

What is the UKMEC category for Cu-IUD and LNG-IUS postpartum?

Answer 33

* 0-48 hours = 1 * 48 hours - 4 weeks = 3 * > 4 weeks = 1 * Postpartum sepsis = 4

Question 34

What gynaecological conditions are UKMEC 4 for Cu-IUD and LNG-IUS?

Answer 34

* Unexplained vaginal bleeding * Cervical cancer * Endometrial cancer * Current PID * Current symptomatic chlamydia or gonorrhoea

Question 35

What gynaecological conditions are UKMEC 3 for Cu-IUD and LNG-IUS?

Answer 35

* Distortion of the uterine cavity * Asymptomatic chlamydia or gonorrhoea