A 35-year-old woman with BMI 38 kg/m2 requests contraception. She has no other comorbidities. According to WHO Medical Eligibility Criteria, which method is Category 2 (advantages generally outweigh risks)?
- A Combined oral contraceptive pills
- B Copper IUD ✓
- C Transdermal contraceptive patch
- D Vaginal contraceptive ring
Correct answer: B. Copper IUD
Explanation
For women with BMI greater than or equal to 35 kg/m2, combined hormonal contraceptives (pills, patch, ring) are WHO MEC Category 3 due to increased venous thromboembolism risk. The copper IUD is Category 2 as obesity does not affect its efficacy or safety. Progestin-only methods are also Category 2 in obesity.
Reference: WHO Medical Eligibility Criteria for Contraceptive Use, 5th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.