Condition | COC | CIC | P/R | POP | DMPA NET-EN | LNG/ETG Implants | Cu-IUD | LNG-IUD |
Vaginal bleeding patterns | ||||||||
Irregular pattern without heavy bleeding | 1 | 1 | 1 | 2 | 2 | 2 | 1 | Initiation: 1 |
Continuation: 1 | ||||||||
Heavy or prolonged bleeding (includes regular and irregular patterns) | 1 | 1 | 1 | 2 | 2 | 2 | 2 | Initiation: 1 |
Continuation: 2 | ||||||||
Unexplained vaginal bleeding (suspicious for serious condition) | ||||||||
Before evaluation | 2 | 2 | 2 | 2 | 3 | 3 | Initiation: 4 | Initiation: 4 |
Continuation: 2 | Continuation: 2 | |||||||
Endometriosis | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 1 |
Benign ovarian tumors (including cysts) | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
Severe dysmenorrhoea | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 1 |
Gestational trophoblastic disease | ||||||||
Decreasing or undetectable human chorionic gonadotropin levels | 1 | 1 | 1 | 1 | 1 | 1 | 3 | 3 |
Persistently elevated human chorionic gonadotropin levels or malignant disease | 1 | 1 | 1 | 1 | 1 | 1 | 4 | 4 |
Cervical ectropion | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
Cervical intraepithelial neoplasia (CIN) | 2 | 2 | 2 | 1 | 2 | 2 | 1 | 2 |
Cervical cancer (awaiting treatment) | 2 | 2 | 2 | 1 | 2 | 2 | Initiation: 4 | Initiation: 4 |
Continuation: 2 | Continuation: 2 | |||||||
Breast disease | ||||||||
Undiagnosed mass | 2 | 2 | 2 | 2 | 2 | 2 | 1 | 2 |
Benign breast disease | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
Family history of cancer | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
Cancer | ||||||||
Current | 4 | 4 | 4 | 4 | 4 | 4 | 1 | 4 |
Past and no evidence of current disease for five years | 3 | 3 | 3 | 3 | 3 | 3 | 1 | 3 |
Endometrial cancer | 1 | 1 | 1 | 1 | 1 | 1 | Initiation: 4 | Initiation: 4 |
Continuation: 2 | Continuation: 2 | |||||||
Ovarian cancer | 1 | 1 | 1 | 1 | 1 | 1 | Initiation: 3 | Initiation: 3 |
Continuation: 2 | Continuation: 2 | |||||||
Uterine fibroids | ||||||||
Without distortion of the uterine cavity | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
With distortion of the uterine cavity | 1 | 1 | 1 | 1 | 1 | 1 | 4 | 4 |
Anatomical abnormalities | ||||||||
That distort the uterine cavity | 4 | 4 | ||||||
That do not distort the uterine cavity | 2 | 2 | ||||||
Pelvic inflammatory disease (PID) | ||||||||
Past PID (assuming no current risk factors of STIs) | ||||||||
With subsequent pregnancy | 1 | 1 | 1 | 1 | 1 | 1 | Initiation: 1 | Initiation: 1 |
Continuation: 1 | Continuation: 1 | |||||||
Without subsequent pregnancy | 1 | 1 | 1 | 1 | 1 | 1 | Initiation: 2 | Initiation: 2 |
Continuation: 2 | Continuation: 2 | |||||||
PID - current or within last three months | 1 | 1 | 1 | 1 | 1 | 1 | Initiation: 4 | Initiation: 4 |
Continuation: 2 | Continuation: 2 | |||||||
STIs (sexually transmitted infections) | ||||||||
Current purulent cervicitis or chlamydial infection or gonorrhoea | 1 | 1 | 1 | 1 | 1 | 1 | Initiation: 4 | Initiation: 4 |
Continuation: 2 | Continuation: 2 | |||||||
Other STIs (excluding HIV and hepatitis) | 1 | 1 | 1 | 1 | 1 | 1 | Initiation: 2 | Initiation: 2 |
Continuation: 2 | Continuation: 2 | |||||||
Vaginitis (including trichomonas vaginalis and bacterial vaginosis) | 1 | 1 | 1 | 1 | 1 | 1 | Initiation: 2 | Initiation: 2 |
Continuation: 2 | Continuation: 2 | |||||||
Increased risk of STIs | 1 | 1 | 1 | 1 | 1 | 1 | Initiation: 2/3 | Initiation: 2/3 |
Continuation: 2 | Continuation: 2 |
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