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UKMEC categories

Is this method safe for her?

Source: UKMEC 2025 (CoSRH)

Category

1No restriction.
2Benefits generally outweigh risks.
3Risks usually outweigh benefits.
4Unacceptable health risk — do not use.

UKMEC 4 for combined pill/patch/ring

  • <3 weeks postpartum with other VTE risk factors
  • Age ≥35 smoking ≥15/day
  • BP ≥160/100 (clinic)
  • Past or current VTE; known thrombogenic mutation
  • Stroke, TIA, vascular disease
  • Migraine with aura
  • Current breast cancer
  • SLE with antiphospholipid antibodies
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.