Which of the following is a contraindication to combined oral contraceptives?

Which of the following is a contraindication to combined oral contraceptives?

• A. Regular exercise
• B. Controlled hypertension
• C. Thromboembolic disease
• D. Migraine without aura

Answer: (C)

Estrogen in combined oral contraceptives raises the risk of blood clotting. In someone with thromboembolic disease, adding estrogen can increase the chance that clots form or worsen, leading to serious events like deep vein thrombosis, pulmonary embolism, or stroke. That elevated clotting risk makes thromboembolic disease an absolute contraindication to these pills. Regular exercise itself isn’t a contra indication. Controlled hypertension isn’t an absolute contraindication in many cases, though it may require assessment. Migraine without aura isn’t the same level of concern as migraine with aura, which is more associated with stroke risk and estrogen-containing contraception; thus it’s not an absolute contraindication like thromboembolic disease.

Estrogen in combined oral contraceptives raises the risk of blood clotting. In someone with thromboembolic disease, adding estrogen can increase the chance that clots form or worsen, leading to serious events like deep vein thrombosis, pulmonary embolism, or stroke. That elevated clotting risk makes thromboembolic disease an absolute contraindication to these pills.

Regular exercise itself isn’t a contra indication. Controlled hypertension isn’t an absolute contraindication in many cases, though it may require assessment. Migraine without aura isn’t the same level of concern as migraine with aura, which is more associated with stroke risk and estrogen-containing contraception; thus it’s not an absolute contraindication like thromboembolic disease.