OCP CONTRAINDICATIONS — MNEMONICS (ENGLISH VERSION)
ABSOLUTE CONTRAINDICATIONS:
Mnemonic:
“BIG CLOTS BLEED CANCER LIVER”
B = Breast cancer
I = Ischemic heart disease (coronary)
G = Genital tract malignancy
C = Cerebrovascular accident (stroke)
L = Liver disease
O = Ongoing abnormal bleeding
T = Thromboembolism / DVT history
S = Severe thrombophlebitis
RELATIVE CONTRAINDICATIONS:
Mnemonic:
“MASH DAGS”
M = Migraine
A = Age > 35 (especially smoker)
S = Superficial thrombophlebitis
H = Hypertension
D = Diabetes
A = Abnormal liver history
G = Gall bladder stones
S = Special pregnancy history (pre-eclampsia, diabetes with pregnancy, cholestasis)
MEMORY PALACE:
ABSOLUTE:
1. Door: swollen leg → DVT
2. Living room: golden crown & heart → coronary disease
3. Hallway: cracked brain → stroke
4. Kitchen: damaged liver
5. Bedroom: uterus with red cancer flag → genital malignancy
6. Bathroom: faucet leaking red → abnormal bleeding
7. Garden: breast-shaped tree → breast tumor
RELATIVE:
1. Street: varicose veins
2. Corner: person holding forehead → migraine
3. Lamp post: BP monitor → hypertension
4. Store: sugar bags → diabetes
5. Bench: gallstones
6. Sign: “Age > 35 smoker”
7. Alley: pregnancy symbols (preeclampsia, cholestasis)

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