A woman using combined oral contraceptive pills reports flashing lights followed by a severe headache before some headaches. Which action is most appropriate?
Correct answer: B. Stop the combined pill and refer her for another method
- A. Advise her to continue the pills and take extra iron
- B. Stop the combined pill and refer her for another method
- C. Tell her to double the pill dose during each headache
- D. Reassure her that this is an expected harmless effect
Explanation
Visual symptoms followed by headache suggest migraine with aura, in which combined estrogen-containing contraception is generally contraindicated because of increased stroke risk. She should stop the combined pill and receive counselling about a suitable non-estrogen method.
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Family planning covers fertility awareness, lactational amenorrhoea, condoms, oral pills, injectables, implants, intrauterine devices, emergency contraception, sterilisation and postpartum options. Questions address mechanisms, effectiveness, contraindications, adverse effects, counselling and follow-up, with careful distinction between contraception, emergency contraception and treatment for infertility.
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