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For “family history of VTE” does it just mean first degree relatives? Is this an unprovoked VTE or any VTE (e.g related to post-surgery)? +

Venous thromboembolism (VTE) This sub-condition relates to first degree relatives. But clinicians should use clinical judgement if a woman has sev...

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There is some confusion about the specific antibodies that make up antiphospholipid antibodies (aPL). Can you specify which antibodies we should be looking for? (UKMEC 2016) +

Rheumatic diseases The antibodies are lupus anticoagulant and anticardiolipin antibodies. Lupus anticoagulant is either positive or negative. Ant...

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Should we do a PL testing on women with isolated Raynaud's phenomenon who request for COC? (UKMEC 2016) +

Rheumatic diseases Not if this is an isolated symptom as many women have cold hands and cold feet which could be diagnosed clinically as Raynaud&...

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Should we test all systemic lupus erythematosus (SLE) patients for their aPL status? (UKMEC 2016) +

Rheumatic diseases Yes this is an important aspect of their condition and management. Most women with SLE will be under secondary care management an...

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How practical is it to get a test for antiphospholipid antibodies? (UKMEC 2016) +

Rheumatic diseases This depends on your local laboratory but this is routinely requested by Rheumatology departments. View the UKMEC .

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What will be the best contraception for women taking new epileptic drugs? +

Drug interactions The UKMEC recommendations relate to safety of use of a particular method of contraception for women with particular conditions, ...

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For women with epilepsy using carbamazepine, would you advice a higher dose oestrogen pill (increasing DVT risk) or just extra contraception using condoms? +

Drug interactions The UKMEC does not give advice on best methods. However, since pregnancy in women with epilepsy is a high risk pregnancy, the hi...

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Can you please give the link for HIV drug interaction check? (UKMEC 2016) +

For up-to-date information on the potential drug interactions between hormonal contraception and antiretroviral (ARV) drugs, please refer to the onli...

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At what age should women stop oral contraception? (UKMEC 2016) +

UKMEC states that guidance supports use of CHC up to age 50 years if there are no medical contraindications to use. Progestogen only pill may be cont...

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Is there any guidance on the use of e-cigarettes and COC? (UKMEC 2016) +

The UKMEC comments that it does not include use of e-cigarettes or vaping, as the risks associated with their use are not yet established. Further...

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