[Answered]: A 36-year-old woman presents for a contraceptive…

A 36-year-old woman presents for a contraceptive management visit. She states she has been very busy and has not seen a healthcare provider in a few years. She reports she has been taking combined oral contraceptive pills (OPs) which she obtained from a friend. She is happy with them and would like the provider to prescribe some more. Review of her medical history reveals a history of an ectopic pregnancy, endometriosis, and smoking. The rest of her history and physical exam is unremarkable. The provider recommends discontinuing combined OCPs and suggests alternative options. Which of the following best explains the rationale behind the provider’s recommendation? A. Smoking decreases the effectiveness of combined oral contraceptive pills B. Combined oral contraceptive pills are contraindicated with a history of endometriosis C. Combined oral contraceptive pills are contraindicated with a history of an ectopic pregnancy. D. Smoking increases the risk for venous thromboembolism in women 35 or older who use combined oral contraceptive pills. E. Combined oral contraceptive pills increase the risk of lung cancer in women 30 or older who smoke.