A woman with a history of deep vein thrombosis wants to use contraception. Which of the following is MOST appropriate?

• A Copper intrauterine device ✓
• B Combined oral contraceptive pill
• C Levonorgestrel emergency contraceptive
• D Combined hormonal ring (NuvaRing)

Explanation

DVT is an absolute contraindication (WHO MEC Category 4) for combined oestrogen-containing contraceptives (COCPs, patches, hormonal rings) because exogenous oestrogen increases coagulation factors and thromboembolic risk. The copper IUD is highly effective (>99%), non-hormonal, and has no thromboembolic risk, making it the preferred choice. Progestogen-only methods (mini-pill, Depo-Provera, implant) are WHO MEC Category 2 (generally usable with caution) for DVT history, but copper IUD is the safest non-hormonal option.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.