Question

Which of the following is an absolute CONTRAINDICATION to OCP use:

• A. Chronic renal disease
• B. DVT
• C. Diabetes mellitus
• D. History of amenorrhea

Answer 1

The Correct Option is B

Step 1: The oestrogen in combined pills increases clotting factors, so the strongest reason to forbid them is an active or built-in clotting risk.
Step 2: Deep vein thrombosis directly demonstrates that the patient forms venous clots; adding a pro-coagulant pill could trigger pulmonary embolism, making DVT an absolute bar to use.
Step 3: The standard absolute-contraindication list also covers cardiovascular disease, inherited thrombophilia, heavy smokers above $40$ years, liver tumours or severe cirrhosis, and breast cancer.
Step 4: Renal disease and uncomplicated diabetes are weighed individually rather than being absolute bars, and amenorrhoea is not a contraindication. Hence DVT is the correct choice.
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