A. Depot injection

B. Combined oral contraceptive pill

C. Copper Intrauterine Device

D. Progesterone-only-pill

E. No longer requires contraception

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The correct answer is C.

• This patient has entered the postmenopausal period as she has not had a period for 12 months. Even though she is postmenopausal she still requires contraception because she is under the age of 50. Guidelines advise: ‘Women using non-hormonal methods of contraception can be advised to stop contraception after 1 year of amenorrhoea if aged over 50 years, 2 years if the woman is aged under 50 years.’ (FSRH). A copper coil is the most suitable option for this patient because of her past history of breast cancer. All other methods given are and fall under UKMEC Category 3, as a result this may be considered an unacceptable risk.

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